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Ken Grauer, MD
OCTOBER 10, 2024
I say this for the simple reason that to pick any of the above 4 choices — is to imply with 100% certainty that you know the answer ( or, as is implied in the title of today’s Blog post — this would be premature closure). ECG Blog #240 — The regular SVT. ECG Blog #229 — Why is AFlutter so commonly overlooked? s in Figure-2 ).
Ken Grauer, MD
AUGUST 29, 2024
MY Impression of ECG #1: As emphasized often in this ECG Blog ( See today's ADDENDUM below ) — statistical odds that a regular WCT rhythm without clear sign of sinus P waves will turn out to be VT begin at 80% likelihood. See ECG Blog #287 — if interested in more on ECG recognition of AFlutter ). How Would You Treat this Patient?
Ken Grauer, MD
NOVEMBER 9, 2024
Regardless of how atypical QRS morphology might be in Figure-1 — given this history of multiple surgeries for CHD, there is no predictive value forthcoming regarding QRS morphology in Figure-1 ( See ECG Blog #422 for another regular WCT case with abnormal QRS morphology in an adult with CHD ). ECG Blog #196 — Another Case with a regular WCT.
Ken Grauer, MD
MARCH 27, 2024
This leaves us with the usual differential diagnosis for this rhythm presentation ( as per ECG Blog #361 ) ==> We need to consider i ) VT until proven otherwise: ii ) SVT with either preexisting BBB or aberrant conduction; — or , iii ) Something else ( ie, WPW, hyperkalemia, some other toxicity, etc. ). What Kind of Conduction Defect?
Ken Grauer, MD
NOVEMBER 15, 2024
I've reviewed on many occasions in this ECG Blog — cases in which acute OMIs were overlooked and misdiagnosed as NSTEMI ( See ECG Blog #400 — among many others ). BOTTOM Line: In 2024 — We should always be suspicious of potential misdiagnosis whenever the label, "NSTEMI" is used.
Ken Grauer, MD
JUNE 27, 2024
As discussed in ECG Blog #231 — Bidirectional VT is a special form of VT, in which there is beat-to-beat alternation of the QRS axis. See My Comment in the June 1, 2020 post in Dr. Smith's ECG Blog — for review of Pleomorphic VT. Multifocal vs Polymorphic VT — September 23, 2011 post from Dr. S.
Ken Grauer, MD
JUNE 22, 2024
And as per ECG Blog #350 — this could represent Wellens ' Syndrome IF this chest lead T wave inversion was new and occurred in a patient who initially had a normal ECG, and then had an episode of transient CP that had resolved at the time this ECG with chest lead T wave inversion was recorded.
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