Heart BMJ
MARCH 22, 2024
On examination, the pulse rate was around 190 beats/min with a systolic blood pressure of 80 mm Hg. Clinical introduction A middle-aged patient with no prior comorbidities presented to the emergency department with a sudden onset of palpitations, dizziness and progressive dyspnoea.
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. The heart is a pump and its role is to work as efficiently as possible to try and get oxygen rich blood round to all the vital organs of the body.
Dr. Smith's ECG Blog
JUNE 11, 2023
His blood pressure was 118/96. His systolic blood pressure declined from 130 to 90 and the emergency medicine team decided to proceed with cardioversion. With that in mind, how would you proceed with treatment? The team decided to start treatment with 1L of IV fluids, 4g of magnesium, and synchronized cardioversion.
Dr. Sanjay Gupta
FEBRUARY 1, 2023
Beta blockers can be used to control blood pressure. Similarly, there have been case reports of patients who were taking beta blockers to control dangerous heart rhythm disturbances and when the beta blocker was abruptly stopped it led to precipitation of ventricular dysrhythmias and even in some cases death. Why does it happen?
Dr. Sanjay Gupta
DECEMBER 19, 2022
Infections and inflammation of the heart eg myocarditis will cause acute inflammation of the heart and therefore may compromise the pumping ability of the heart Conditions such as high blood pressure will make the heart work harder and as it does so it will become more muscular. You can only diagnose it in retrospect.
Dr. Smith's ECG Blog
SEPTEMBER 7, 2020
Blood pressure was normal (109/83). A 30-something was in the ED for some minor trauma when he was noted to have a fast heart rate. He acknowledged that he had palpitations. but only when asked. He had a history heavy alcohol use. The Differential Diagnosis is: SVT with aberrancy(#) [AVNRT vs.
Dr. Smith's ECG Blog
FEBRUARY 8, 2015
I also believe that we physicians and medics are eager to treat dysrhythmias, and we want to see them even when they are not there. Dilated pupils and hypertension are a strong clue to sympathetic overload, but don't forget anticholinergic syndromes, including tricyclics!
Expert insights. Personalized for you.
40 
Let's personalize your content