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? Learning points : Takotsubo can lead to cardiac arrest from ventricular arrhythmia. There are no clear signs of OMI. There is a prolonged QTc.

Cardiac Arrest 67

Cardiac Arrest Cardiomyopathy Arrhythmia Atrial Fibrillation 67

Dr. Smith's ECG Blog

JANUARY 2, 2025

Heart Rhythm [Internet]. 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. Bogossian H, Frommeyer G, Ninios I, Hasan F, Nguyen QS, Karosiene Z, Mijic D, Kloppe A, Suleiman H, Bandorski D, et al.

Tachycardia 116

Tachycardia Cardiomyopathy Blog Bradycardia 116

Dr. Smith's ECG Blog

OCTOBER 25, 2023

Polymorphic Ventricular Tachycardia Long QT Syndrome with Continuously Recurrent Polymorphic VT: Management Cardiac Arrest. A New Seizure in a Healthy 20-something More cases of long QT not measured correctly by computer (these are all fascinating ECGs/cases): Bupropion Overdose Followed by Cardiac Arrest and, Later, ST Elevation.

Chest Pain 123

Chest Pain Ischemia Cardiac Arrest Blog 123

Dr. Smith's ECG Blog

JANUARY 30, 2019

Heart Rhythm, 13(7): 1515-1520. [2]: Heart Rhythm, 4(2), 198-199. [6] Heart Rhythm, 15(9): 1394-1401. [7] 7] American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circ Res, 85(9), 803-809. [6]:

Heart Rhythm 52

Heart Rhythm Sudden Cardiac Death Arrhythmia STEMI 52

Dr. Smith's ECG Blog

NOVEMBER 24, 2017

In other words, if the QT is less than 1/2 the RR (QT non -prolonged) and the heart rate is above about 60 beats a minute, you can confidently say the QT is not prolonged. 3) At heart rates below 60, far more caution is due. 6) Use a different rule of thumb for bradycardia : Manually approximate both the QT and the RR interval.

Bradycardia 52

Bradycardia Article Atrial Fibrillation Chest Pain 52

Dr. Smith's ECG Blog

DECEMBER 5, 2019

Further history later: This patient personally has no further high risk features (syncope / presyncope), but her mother had sudden cardiac arrest in sleep. Regardless of further evaluation, she should avoid bradycardia, AV nodal blockers, Na channel blockers, and fevers. --If Heart Rhythm 2016. Heart Rhythm 2018.

Sudden Cardiac Death 52

Sudden Cardiac Death Heart Rhythm Article Tachycardia 52

Dr. Smith's ECG Blog

JANUARY 21, 2023

This ECG shows a sinus bradycardia with a normal conduction pattern (normal PR, normal QRS, and normal QTc), normal axis, normal R-wave progression, normal voltages. Hypothermia can also produce bradycardia and J waves, with a pseudo-STEMI pattern. Heart Rhythm 2010 Hudzik B, Gasior M. There is marked sinus bradycardia.

STEMI 52

STEMI Bradycardia Arrhythmia Cardiac Arrest 52