Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

While on telemetry monitoring he suffered cardiac arrest and was resuscitated. What ECG finding may have contributed to (or precipitated) the cardiac arrest? A coronary angiogram was done that did not show significant coronary artery disease. There are no clear signs of OMI. There is a prolonged QTc.

Cardiac Arrest 71

Cardiac Arrest Cardiomyopathy Arrhythmia Atrial Fibrillation 71

Dr. Smith's ECG Blog

JUNE 5, 2024

Uncontrolled coronary spasm may be associated with serious arrhythmias , including cardiac arrest ( Looi et al — Postgrad Med, 2012 ; Tan et al — Eur Heart J Case Rep, 2018 ; Chevalier et al — JACC, 1998 ; Rodriguez-Manero — EP Europace, 2018 ). Initial high sensitivity troponin I returned at 6ng/L (normal 0.20

Chest Pain 107

Chest Pain Blog Cardiac Arrest Cardiomyopathy 107

Dr. Smith's ECG Blog

JANUARY 2, 2025

Discontinue all negative chronotropic agents, since the risk of torsade is much higher with bradycardia or pauses. See this post: How a pause can cause cardiac arrest 2. Finally, do a coronary angiogram Possible alternative to pacing is to give a beta-1 agonist to increase heart rate. The plan: 1.

Tachycardia 86

Tachycardia Cardiomyopathy Blog Bradycardia 86