Remove Bradycardia Remove Coronary Angiogram Remove Heart Rhythm
article thumbnail

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

Dr. Smith's ECG Blog

Heart Rhythm [Internet]. Among patients with left bundle branch block, T-wave peak to T-wave end time is prolonged in the presence of acute coronary occlusion. Discontinue all negative chronotropic agents, since the risk of torsade is much higher with bradycardia or pauses. 2014;11:22732277. Available from: [link] 2.

article thumbnail

How a pause can cause cardiac arrest

Dr. Smith's ECG Blog

Had there been recurrent episodes of pause-dependent TdP, temporary ventricular pacing at a higher heart rate would have been indicated to suppress the pauses and in that way decreasing the risk of further episodes of TdP. A coronary angiogram was done that did not show significant coronary artery disease.