Bradycardia Coronary Angiogram Defibrillator 
Dr. Smith's ECG Blog
JANUARY 2, 2025
Discontinue all negative chronotropic agents, since the risk of torsade is much higher with bradycardia or pauses. Finally, do a coronary angiogram Possible alternative to pacing is to give a beta-1 agonist to increase heart rate. The plan: 1. See this post: How a pause can cause cardiac arrest 2. Place temporary pacemaker 3.
Dr. Smith's ECG Blog
JUNE 19, 2023
Soon afterward, the patient’s symptoms return along with lightheadedness, bradycardia, and hypotension. The patient has also developed sinus bradycardia, which may result from right coronary artery ischemia to the SA node. The Queen of Hearts agrees: Around this time his initial high sensitivity troponin I resulted at 231 ng/L.
Dr. Smith's ECG Blog
SEPTEMBER 16, 2024
After resuscitation and defibrillation , there were no more episodes of TdP. A coronary angiogram was done that did not show significant coronary artery disease. Below is the patient’s 12 lead ECG following defibrillation. Post ROSC the patient was alert and cooperative. What does this ECG tell you?
EMS 12-Lead
MARCH 19, 2023
Despite immediate chest compressions, and multiple rounds of defibrillation, he could not be resuscitated. Learning points 1] Acute Coronary Syndrome has many shades of clinical manifestation. This was all very alarming because his baseline routine, otherwise, is unencumbered as he reports a usually high exertional tolerance.
Dr. Smith's ECG Blog
FEBRUARY 6, 2025
There are 2 main options: Overdrive pacing could be considered and in the right clinical situation, this is often effective for reducing ventricular arrhythmias ( especially in the case of preventing pause induced or bradycardia-induced arrhythmias in association with QTc prolongation ). Try a different kind of antiarrhythmic.
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