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What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

Cardiac function is poor, with akinesis of the LAD territory. There was no evidence bradycardia leading up to the runs of PMVT ( as tends to occur with Torsades ). Principal adverse cardiac effects of Quinidine include QRS widening and QTc prolongation. This was recorded a number of days later ).

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Texted from a former EM resident: 70 yo with syncope and hypotension, but no chest pain. Make their eyes roll!

Dr. Smith's ECG Blog

Among patients who present purely for “syncope” — o ur greatest concern is focused on those with a cardiac-related etiology for their syncope — since longterm prognosis is poorest for these patients unless a “fixable” etiology is discovered.

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A middle-aged woman with chest pain and a "normal" ECG in triage

Dr. Smith's ECG Blog

The computer interpreted the ECG (GE Marquette 12 SL) as: "Sinus Bradycardia. Here it is: Computer interpretation: "Sinus bradycardia. I don't know what her subsequent cardiac function was, but that is not the point of this post. She had a ECG recorded. Normal ECG." It was not seen by a physician.

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Orthostatic hypotension onset after invasive procedure?

Dr. Smith's ECG Blog

If it does not sense a native rhythm (perhaps from lead fracture or displacement), it will attempt to pace at 60 beats per minute, which can cause unnecessary pacing spikes interrupting normal cardiac function. This is supported by the PT note which described a palpably irregular pulse with pauses and marked bradycardia.

Pacemaker 101