Remove Bradycardia Remove Cardiac Arrest Remove Stents
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STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

There is also bradycardia. Bradycardia puts patients at risk for "pause-dependent" Torsades de Pointes. Torsades in acquired long QT is much more likely in bradycardia because the QT interval following a long pause is longer still. This was stented. If cardiac arrest from hypokalemia is imminent (i.e.,

STEMI 52
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Should we activate the cath lab? A Quiz on 5 Cases.

Dr. Smith's ECG Blog

The patient was referred immediately for cath which revealed RCA occlusion that was stented. Smith: This bizarre ECG looks like a post cardiac arrest ECG with probable acidosis or hyperkalemia in addition to OMI. There is some down sloping ST-segment and T wave inversion in lead aVL. How did the Queen of Heart AI model perform?

Ischemia 121
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Unresponsive and Acidotic: OMI? Acute, subacute, or reperfused? What is the rhythm? Why RV dysfunction? Can CT scan help?

Dr. Smith's ECG Blog

His rhythm on telemetry seemed to be sinus bradycardia vs junctional rhythm. They felt that the asystolic arrest suggested a different etiology of cardiac arrest. With the severe acidosis and absence of ST elevation, they felt there was more likely to be a non-cardiac etiology of his presentation.