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

Circulation

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. His home medications included metoprolol succinate 25mg daily which was held given bradycardia. Echocardiogram was unchanged from baseline.

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

Dr. Smith's ECG Blog

Discontinue all negative chronotropic agents, since the risk of torsade is much higher with bradycardia or pauses. EKG with paced complexes shown below shows much narrower QRS complex and echocardiogram showed improved LV systolic function primarily due to improvement in LV dyssynchrony. (J The plan: 1. Place temporary pacemaker 3.

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A woman in her 50s with multiple episodes of syncope

Dr. Smith's ECG Blog

EMS reports intermittent sinus tachycardia and bradycardia secondary to some type of heart block during transport. The echocardiogram showed a normal EF without any abnormalities. Each event is associated with a prodrome of mild substernal CP, SOB, and “brain fog.” Troponins were all negative.

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A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

Hopefully a repeat echocardiogram will be performed outpatient. Other Arrhythmias ( PACs, PVCs, AFib, Bradycardia and AV conduction disorders — potentially lethal VT/VFib ). Systolic function normal by visual assessment only, unable to visualize well for further characterization. 1900: RBBB and LAFB are almost fully resolved.

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Cath Lab occupied. Which patient should go now (or does only one need it? Or neither?)

Dr. Smith's ECG Blog

Additionally, a bedside echocardiogram showed no wall motion abnormality and normal LV function. He had multiple episodes of bradycardia and nonsustained ventricular tachycardia. A formal echocardiogram for patient 2 showed normal LV size, wall thickness, and global systolic function.

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Paced QRS morphology mimicking complete left bundle branch block induced by right ventricular pacing is associated with pacing?induced cardiomyopathy

Journal of Cardiovascular Electrophysiology

Patients who received pacemakers for an advanced atrioventricular block or bradycardia with atrial fibrillation, baseline LV ejection fraction (LVEF) ≥ 50%, and echocardiogram recorded at least 6 months postimplantation were included. The paced QRS recorded immediately after implantation was analyzed.

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Right Precordial T-wave Inversion

Dr. Smith's ECG Blog

Description Sinus bradycardia. First because I have a good eye on ECGs of endurance athletes Second because I see a lot of these tracings Third because the stress test determines the disappearance of ECG abnor malities found at rest Fourth because the echocardiogram is normal Fifth and last, the clinical presentation speaks clearly."