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Here, a rare repeated sinus bradycardia event due to escitalopram is first reported. In an 82-year-old female patient with cardiac dysfunction using digoxin, tachycardia (average heart rate of 93 beats/min) was demonstrated by electrocardiogram (ECG). heart rate was <60 beats/min.
In a world where technology reigns supreme, one of the most profound tools in medicine remains the irreplaceable electrocardiogram (ECG). It can measure many aspects, from how fast the heart beats to how well its chambers conduct electrical energy. Sinus tachycardia – sinus rhythm above 100 bpm is a sinus tachycardia.
In other words, if the QT is less than 1/2 the RR (QT non -prolonged) and the heart rate is above about 60 beats a minute, you can confidently say the QT is not prolonged. 3) At heart rates below 60, far more caution is due. 6) Use a different rule of thumb for bradycardia : Manually approximate both the QT and the RR interval.
Regardless of further evaluation, she should avoid bradycardia, AV nodal blockers, Na channel blockers, and fevers. --If Fever not only unmasks a Brugada-type electrocardiogram (ECG) but also increases the risk of ventricular tachyarrhythmias such as ventricular fibrillation (VF) or sudden cardiac death. HeartRhythm 2016.
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