Bradycardia Pacemaker Ultrasound 
Dr. Smith's ECG Blog
JANUARY 2, 2025
Bedside cardiac ultrasound showed moderately decreased LV function. Discontinue all negative chronotropic agents, since the risk of torsade is much higher with bradycardia or pauses. Place temporary pacemaker 3. She was intubated. CT of the chest showed no pulmonary embolism but bibasilar infiltrates. The plan: 1.
Dr. Smith's ECG Blog
FEBRUARY 23, 2023
Dr. Nossen performed a bedside ultrasound which was interpreted as normal. After the heart rate increased slightly, here was the repeat ECG: Sinus bradycardia, only slightly faster rate than prior. That said — what is unusual about the rhythm in the initial ECG of today's case — is the marked bradycardia!
Dr. Smith's ECG Blog
MARCH 15, 2023
Her bedside cardiac ultrasound was normal We decided to cardiovert her since the time of onset was very recent. Baseline bradycardia in endurance athletes limits the use of ß-blockers. But when you see this, you should suspect that the AV node is not well. I signed her out to one of my partners.
Dr. Smith's ECG Blog
AUGUST 9, 2024
Automatic activity refers to enhanced pacemaking function (typically from a non sinus node source), for example atrial tachycardia. However the patient continued to have chest pain and bedside ultrasound showed hypokinesis of the septum with significantly reduced LVEF. The most common triggered arrhythmia is Torsades de Pointes.
Dr. Smith's ECG Blog
JULY 21, 2024
There was no evidence bradycardia leading up to the runs of PMVT ( as tends to occur with Torsades ). If there had been — a temporary atrial pacemaker could have been considered as a way of increasing the heart rate to suppress a bradycardia-dependent arrhythmia ("overdrive pacing").
Dr. Smith's ECG Blog
APRIL 8, 2015
Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. Frequent or repetitive PACs ii. orthostatic vitals b.
Dr. Smith's ECG Blog
DECEMBER 23, 2024
Several days into hospitalization, she continued to have occasional episodes of sinus rhythm and sinus bradycardia with periods of Mobitz I AV block and 2:1 block. Meanwhile, the patient's native rhythm is sinus bradycardia with adequate perfusion. If you don't have ultrasound (but you should), then palpate a pulse!
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