Remove Bradycardia Remove Chest Pain Remove Sudden Cardiac Death
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What kind of AV block is this? And why does she develop Ventricular Tachycardia?

Dr. Smith's ECG Blog

There was no chest pain. The granulomatous inflammation affects the heart, causing an infiltrative cardiomyopathy The most common manifestations of cardiac sarcoidosis are atrioventricular (AV) block and ventricular tachyarrhythmias (VT). This was written by Magnus Nossen The patient is a female in her 50s.

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Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

It was from a patient with chest pain: Note the obvious Brugada pattern. 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death. The elevated troponin was attributed to either type 2 MI or to non-MI acute myocardial injury.

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A young F is hyperthermic, delirious, and dry: Fever-induced Brugada? Diphenhydramine toxicity? Tricyclic?

Dr. Smith's ECG Blog

Regardless of further evaluation, she should avoid bradycardia, AV nodal blockers, Na channel blockers, and fevers. --If The patient denied any chest pain whatsoever, and a troponin at zero and 2 hours were both undetectable. EP study to further risk stratify her is recommended, with ICD placement depending on the results.