Remove Bradycardia Remove Dysrhythmia Remove Outcomes
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A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

Atrial fibrillation is also a predictor of worse outcomes in this case (Alborzi). See these publications for more information Overall, management for cardiac contusion is mostly supportive unless surgical complications develop, involving appropriate treatment of dysrhythmias and hemodynamic instability.

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STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

There is also bradycardia. Bradycardia puts patients at risk for "pause-dependent" Torsades de Pointes. Torsades in acquired long QT is much more likely in bradycardia because the QT interval following a long pause is longer still. The patient stabilized and had a good outcome. Could the dysrhythmias have been prevented?

STEMI 52
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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1. PVCs N ot generally considered abnormal ECG findings: Isolated PAC, First Degree AV Block, Sinus bradycardia at a rate of 35-45, and Nonspecific ST-T abnormalities (even if different from a previous ECG).

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Unresponsive and Acidotic: OMI? Acute, subacute, or reperfused? What is the rhythm? Why RV dysfunction? Can CT scan help?

Dr. Smith's ECG Blog

His rhythm on telemetry seemed to be sinus bradycardia vs junctional rhythm. In short with a very guarded likelihood for a positive outcome. Telemetry initially was interpreted as showing sinus bradycardia vs a junctional rhythm. A quick POCUS which showed significantly reduced ejection fraction and trace B lines.