Blog Chest Pain Dysrhythmia 
Dr. Sanjay Gupta
AUGUST 31, 2022
In that sense, the term dysrhythmia is preferable because it does literally translate as a disturbance in normal rhythm which is exactly what it is meant to describe. Any unsolicited disturbance of the rate or rhythm can be termed a dysrhythmia and result in the heart beating less efficiently but only for the duration of the dysrhythmia.
Dr. Smith's ECG Blog
JUNE 14, 2017
There was apparently no syncope and he had no bony injuries, but he did complain of left sided chest pain. His chest was tender. A bedside cardiac ultrasound was normal. An ECG was recorded: Avinash was understandably confused by this ECG. He wrote: "ECG 1 - shows wide ???IVCD IVCD type rhythm ?? What is it? What is the rhythm?
Dr. Smith's ECG Blog
MAY 25, 2024
An elderly dialysis patient presented with chest pain. Relative contraindications to both include a known prolonged QT, especially if the dysrhythmia is believed to be caused by prolonged QT. She has poor LV function. Severely decreased LV function. Here is her ECG: Regular Wide Complex Tachycardia.
Dr. Smith's ECG Blog
FEBRUARY 6, 2024
ECG of pneumopericardium and probable myocardial contusion shows typical pericarditis Male in 30's, 2 days after Motor Vehicle Collsion, complains of Chest Pain and Dyspnea Head On Motor Vehicle Collision. Gunshot wound to the chest with ST Elevation Would your radiologist make this diagnosis, or should you record an ECG in trauma?
Dr. Smith's ECG Blog
JUNE 11, 2023
Written by Bobby Nicholson MD and Pendell Meyers A man in his 30s presented to the ED for evaluation of chest pain and palpitations. At this point, the patient had been symptomatic for almost 5 hours, appeared unwell with chest pain and diaphoresis. Thus, the patients rhythm is atrial fibrillation with WPW.
Dr. Smith's ECG Blog
SEPTEMBER 19, 2023
He had concurrent sharp substernal chest pain that resolved, but palpitations continued. Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. If you don't know what the dysrhythmia is, then try procainamide. What to do now? So I would give procainamide.
Dr. Smith's ECG Blog
SEPTEMBER 27, 2023
This was written by Magnus Nossen, from Norway, with comments and additions by Smith A 50 something smoker with no previous medical hx contacted EMS due to acute onset chest pain. Upon EMS arrival the patient appeared acutely ill and complained of chest pain. Is it sinus or is it a supraventricular dysrhythmia?
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