Remove Bradycardia Remove Circulation Remove Tachycardia
article thumbnail

Abstract 4145609: The Cardiac Conundrum of Cannabis: A Case of Junctional Bradycardia Triggered by Cannabis Use

Circulation

Circulation, Volume 150, Issue Suppl_1 , Page A4145609-A4145609, November 12, 2024. Electrocardiogram (ECG) and telemetry revealed junctional bradycardia with heart rate in 30s and sinus pauses (5-7 seconds). He was admitted for further workup of bradycardia. Patient did not report any symptoms and was hemodynamically stable.

article thumbnail

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

Dr. Smith's ECG Blog

Shortly after isoprenalin infusion was initiated, there were short runs of ventricular tachycardia. The physiologic reason for this — is thought to be the result of momentarily increased circulation from mechanical contraction arising from the "sandwiched in" QRS complex. She was started on isoprenalin (isoproterenol).

article thumbnail

A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

The ECG shows sinus tachycardia with RBBB and LAFB, without clear additional superimposed signs of ischemia. Circulation: Cardiovascular Imaging. The Initial ECG in Today's Case: As per Dr. Meyers — the initial ECG in today's case shows sinus tachycardia with bifascicular block ( = RBBB/LAHB ). 2015, March 1). Cramer, M.

article thumbnail

How Wearable Tech Can Help Monitor Your Heart Health

MIBHS

Abnormal readings can signal issues with circulation or lung function, prompting further investigation. Early detection of conditions like AFib, bradycardia, or tachycardia allows patients to address issues before they become critical. Sleep Monitoring Quality sleep is essential for heart health.

article thumbnail

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

Dr. Smith's ECG Blog

This progressed to electrical storm , with incessant PolyMorphic Ventricular Tachycardia ( PMVT ) and recurrent episodes of Ventricular Fibrillation ( VFib ). There was no evidence bradycardia leading up to the runs of PMVT ( as tends to occur with Torsades ). He required multiple defibrillations within a period of a few hours.

article thumbnail

46 year old with chest pain develops a wide complex rhythm -- see many examples

Dr. Smith's ECG Blog

Automatic activity refers to enhanced pacemaking function (typically from a non sinus node source), for example atrial tachycardia. Circulation Research , 56 (2), 184–194. Circulation , 63 (2), 333–340. The most common triggered arrhythmia is Torsades de Pointes. Do not treat AIVR. In fact, use of antidyrhythimcs (e.g.,

article thumbnail

QT Correction Formulas Compared to The Rule of Thumb ("Half the RR")

Dr. Smith's ECG Blog

The rule of thumb is less accurate, and the risk is higher because a long QT in the presence of bradycardia ("pause dependent" Torsades) predisposes to Torsades. 6) Use a different rule of thumb for bradycardia : Manually approximate both the QT and the RR interval. 3) At heart rates below 60, far more caution is due. which is 0.6