Blood Pressure Dysrhythmia Tachycardia 
Dr. Smith's ECG Blog
JUNE 11, 2023
The ECGs show a wide complex, irregularly irregular tachycardia. His blood pressure was 118/96. At that time, he presented via EMS and had received magnesium and lidocaine prehospital for concerns of ventricular tachycardia. On arrival to the ED, he was noted to be in a wide complex tachycardia with a rate in the 240s.
Heart BMJ
MARCH 22, 2024
On examination, the pulse rate was around 190 beats/min with a systolic blood pressure of 80 mm Hg. ECG at presentation was suggestive of ventricular tachycardia (VT) ( figure 1 A ). Resuscitation with urgent cardioversion in view of haemodynamic instability with wide complex tachycardia was done.
Dr. Smith's ECG Blog
FEBRUARY 8, 2015
They had already cardioverted at 120 J, then 200 J, which resulted in the following: Ventricular Tachycardia They then cardioverted at 200 J which r esulted in the same narrow complex rhythm shown above, at 185 beats per minute. This would treat both SVT or sinus tachycardia. I suggested esmolol if the heart rate did not improve.
Dr. Smith's ECG Blog
SEPTEMBER 7, 2020
Blood pressure was normal (109/83). Here is his 12-lead: There is a wide complex tachycardia with a rate of 257, with RBBB and LPFB (right axis deviation) morphology. Read about Fascicular VT here: Idiopathic Ventricular Tachycardias for the EM Physician Case Continued He was completely stable, so adenosine was administered.
Dr. Smith's ECG Blog
NOVEMBER 19, 2016
The initial blood pressure was 80/palp with a heart rate of 104, respirations 20, oxygen saturations of 94% and a finger stick blood glucose of 268. In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure.
Dr. Smith's ECG Blog
APRIL 8, 2015
If the patient has Abnormal Vital Signs (fever, hypotension, tachycardia, or tachypnea, or hypoxemia), then these are the primary issue to address, as there is ongoing pathology which must be identified. Any ED systolic blood pressure less than 90 or greater than 180 mm Hg (+1) 4. h/o heart disease (+1) 3.
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