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Catheter ablation of typical atrial flutter improves cardiac chamber size and function

Journal of Cardiovascular Electrophysiology

Abstract Introduction Cavo-tricuspid isthmus (CTI) dependent atrial flutter (AFL) is one of the most common atrial arrhythmias involving the right atrium (RA) for which radiofrequency catheter ablation has been widely used as a therapy of choice.

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

Dr. Smith's ECG Blog

Formal Echocardiogram: Normal left ventricular size and wall thickness. had an initial hs-cTnI less than 52 ng/L (a level with a high PPV for Type 1 MI -- OMI or NOMI) Trops peaked at greater than 36,000 ng/L (very large MI of course) Post PCI ECG the next day: Looks like a nearly completed anterior MI, in spite of rapid reperfusion.

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Back to basics: what is this rhythm? What are your options for treating this patient?

Dr. Smith's ECG Blog

The differential of a regular narrow QRS tachycardia is sinus tachycardia, SVT, and atrial flutter with regular conduction. There are no P waves preceding the QRS complexes, and no clear flutter waves. She had an echocardiogram which was normal. SVT is by far the most likely rhythm in this case.

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Young Man with a Heart Rate of 257. What is it and how to manage?

Dr. Smith's ECG Blog

The Differential Diagnosis is: SVT with aberrancy(#) [AVNRT vs. WPW (also called AVRT*)] Atrial flutter with 1:1 conduction, with aberrancy VT coming from the anterior fascicle ( fascicular VT )@ *AVRT = AV Reciprocating Tachycardia (Tachycardic loop that uses both the AV node and an accessory pathway. "Due The echo was normal.

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New Onset Heart Failure and Frequent Prolonged SVT. What is it? Management?

Dr. Smith's ECG Blog

Later, he underwent a formal echocardiogram: Very severe left ventricular enlargement (LVED diameter 7.4 There is atrial activity before every QRS, but that activity has negative polarity, so it is not sinus rhythm. The other atrial flutter types are: 1. The patient was given furosemide and admitted to the hospital.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Cardiac enzymes, CTs, echocardiograms, carotid ultrasounds, and electroencephalography all affected diagnosis or management in Postural blood pressure , performed in only 38% of episodes, had the highest yield with respect to affecting diagnosis (18-26%) or management (25-30%) and determining etiology of the syncopal episode (15-21%).

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

Dr. Smith's ECG Blog

It is reasonable to perform an echocardiogram to evaluate LV function. Catheter ablation or flecainide should be considered in symptomatic patients with idiopathic VT/PVCs from an origin other than the RVOT or the left fascicles. [ 1 ] Considerations Regarding Use of Flecainide: A 12-lead ECG is mandatory before starting therapy.