Remove Bradycardia Remove Coronary Angiogram Remove Pulmonary
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

CT of the chest showed no pulmonary embolism but bibasilar infiltrates. 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. She was intubated.

article thumbnail

See OMI vs. STEMI philosophy in action

Dr. Smith's ECG Blog

On his physical examination, cardiac and pulmonary auscultation was completely normal. His first electrocardiogram ( ECG) is given below: --Sinus bradycardia. Bi-phasic scan showed no dissection or pulmonary embolism. Here is the coronary angiogram: A distal thrombotic right coronary artery (RCA) occlusion !

STEMI 52