Bradycardia Risk Factors Ultrasound 
Dr. Smith's ECG Blog
MAY 19, 2020
There is sinus bradycardia with one PVC. The ways to tell for certain include intravascular ultrasound (to look for extra-luminal plaque with rupture) or "optical coherence tomography," something I am entirely unfamiliar with. If there is any evidence of atherosclerosis, modifiable CAD risk factors should be treated aggressively.
Dr. Smith's ECG Blog
APRIL 8, 2016
Bedside ultrasound showed no effusion and moderately decreased LV function, with B-lines of pulmonary edema. There is also bradycardia. Bradycardia puts patients at risk for "pause-dependent" Torsades de Pointes. He was managed medically with Clopidogrel. He appeared to be in shock.
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 5, 2019
--Genetic testing could be helpful to confirm the diagnosis and allow for screening of other at-risk family members. --EP EP study to further risk stratify her is recommended, with ICD placement depending on the results. Conclusion of this paper: Fever is a great risk factor for arrhythmia events in Brugada Syndrome patients.
Dr. Smith's ECG Blog
APRIL 13, 2025
There is also STE in V1 which is diagnostic of right ventricular OMI in this situation , and partly explains the syncope and hypotension (along with the bradycardia). There is a trend toward these patients being younger with a greater relative percentage of women and fewer traditional cardiac risk factors. Embolism with lysis.
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