Remove Bradycardia Remove Cardiomyopathy Remove Pacemaker
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Paced QRS morphology mimicking complete left bundle branch block induced by right ventricular pacing is associated with pacing?induced cardiomyopathy

Journal of Cardiovascular Electrophysiology

Complete left bundle branch block (CLBBB)-like QRS morphology of right ventricular pacing at pacemaker implantation satisfying the American Heart Association/American College of Cardiology Foundation/Heart Rhythm Society criteria of CLBBB was associated with development of pacing induced cardiomyopathy.

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Challenging Arrhythmias ā€” MIS-C Case Report (9-16.1-2024) - NOT_YET_FINISHED

Ken Grauer, MD

The overall rhythm is chaotic ā€” which is not necessarily unexpected given the history of an acutely ill 12-year with severe dilated cardiomyopathy on Echo. Iā€™d guess the overall rhythm is sinus, perhaps with a wandering atrial pacemaker and very frequent ventricular ectopy with multiple couplets.

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Torsade in a patient with left bundle branch block: is there a long QT? (And: Left Bundle Pacing).

Dr. Smith's ECG Blog

And of course Ken's comments at the bottom) An elderly obese woman with cardiomyopathy, Left bundle branch block, and chronic hypercapnea presented hypoxic with altered mental status. I do not see OMI here and all trops were only minimally elevated, consistent with either chronic injury from cardiomyopathy or with acute injury from sepsis.

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A 90-something with acute stroke. She has no chest symptoms. What is the diagnosis?

Dr. Smith's ECG Blog

It turns out that she has hypertrophic cardiomyopathy. Here is the echo report for this visit (after the negative angiogram): Hypertrophic cardiomyopathy with asymmetric septal hypertrophy. There was a question in the record of hypertrophic cardiomyopathy. Regional wall motion abnormality-distal septum and apex.

Strokes 73
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What is the mechanism of LBBB in DCM ? How does left bundle branch pacing correct it ?

Dr. S. Venkatesan MD

need to be reminded the etiology of cardiomyopathy plays crucial role in determining the cause of LBBB. This fact by itself tell us what could be the true mechanism of LBBB in dilated cardiomyopathy. In selected patients with discrete proximal LBBB the pacemaker stimuli may breakthrough the block.

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What is athleteā€™s heart?

All About Cardiovascular System and Disorders

Enlargement of the left ventricular cavity, increased wall thickness and increased trabeculations in athleteā€™s heart will have to be differentiated from conditions like dilated cardiomyopathy, hypertrophic cardiomyopathy and isolated left ventricular non-compaction. Differentiating Athleteā€™s Heart From Cardiomyopathies ā€“ The Left Side.

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What kind of AV block is this? And why does she develop Ventricular Tachycardia?

Dr. Smith's ECG Blog

Isoprenalin was discontinued, and a temporary transveous pacemaker was implanted. The patient stabilized following pacemaker placement. For example ā€” bradycardia and AV conduction disturbances are not uncommon with Hyperkalemia , with these conduction disturbances most often resolving once serum K+ is corrected.