article thumbnail

PO-06-195 EFFICACY OF ATRIAL ANTI-TACHYCARDIA PACING IN PATIENTS WITH IMPLANTABLE CARDIOVERTER-DEFIBRILLATORS: INSIGHTS FROM THE CERTITUDE REAL-WORLD DATABASE

HeartRhythm

Atrial tachyarrhythmias (ATs) such as atrial flutter and fibrillation increase the risk of stroke, heart failure and mortality. In patients with implantable cardiac defibrillator (ICD), they may also lead to rapid stable ventricular rhythms that result in inappropriate therapies.

article thumbnail

A multicenter analysis of implantable monitoring device-based diagnosis of supraventricular arrhythmia post patent foramen ovale closure: the OCCL-ILR study

Frontiers in Cardiovascular Medicine

Primary endpoint was the incidence of patients with new onset supraventricular arrhythmia (AF, atrial flutter or any supraventricular tachycardia) lasting >30s, post PFO closure.ResultsA total of 59 patients met the inclusion criteria.

article thumbnail

A 40-something presented after attempted prehospital resuscitation with persistent Ventricular Fibrillation

Dr. Smith's ECG Blog

He underwent further standard resuscitation EXCEPT that we applied the Inspiratory Threshold Device ( ResQPod ) AND applied Dual Sequential Defibrillation (this simply means we applied 2 sets of pads, had 2 defib machines, and defibrillated with both with only a fraction of one second separating each defibrillation.

article thumbnail

ECG Blog #370 — A Post-Arrest Tachycardia.

Ken Grauer, MD

She underwent cardiopulmonary resuscitation for VT/VFib — with ROSC ( R eturn O f S pontaneous C irculation ) following defibrillation and treatment with Epinephrine and Amiodarone. PEARL # 3: At this point — the most time-efficient step for solving today's rhythm will be to determine the nature of atrial activity.

Blog 78
article thumbnail

Chest pain and rapid pacing followed by an unexplained wide complex tachycardia. Time for cardioversion?

Dr. Smith's ECG Blog

Here is a representative CXR from a different patient showing a typical CRT-D The blue dotted line overlies the right atrial lead The red dotted line overlies the RV lead. This is the shock coil and identifies this device as a defibrillator. CRT-D is cardiac resynchronization therapy with defibrillation capability, like the CXR above.

article thumbnail

What is this rhythm? And why rhythm problems are easier for the Emergency Physician than acute coronary occlusion (OMI).

Dr. Smith's ECG Blog

Possible but, again, the QRS morphology is atypical 3) Atrial Flutter with 2:1 conduction and "aberrancy". I do not see flutter wave baseline, and again the QRS morphology is not typical for a supraventricular rhythm. See this case, for example: A Relatively Narrow Complex Tachycardia at a Rate of 180.

article thumbnail

Electrical instability in a healthy 50 year old. How to manage?

Dr. Smith's ECG Blog

Most patients can be managed without and implantable cardioverter defibrillator (ICD) In patients with PVCs/VT and a presentation not typical for an idiopathic origin cardiac magnetic resonance (CMR) should be considered, even if the Echo is normal.