ECG Guru

JULY 30, 2024

The ECG shows an example of a patient with bradycardia/tachycardia syndrome (also called sick sinus syndrome). After a further pause of just under 2000 ms, 2 sinus node beats follow, which merge into a sinus tachycardia or atrial tachycardia (heart rate approx. Initially, a sinus rhythm with a heart rate of approx.

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Tachycardia Bradycardia 52

ECG Guru

AUGUST 28, 2023

Initially, there is an accelerated atrial rhythm/atrial tachycardia. Pre-automatic pause is a pause after a tachycardia and before an automatic rhythm, like sinus rhythm or, in this case, junctional escape rhythm. This EKG shows the classic features of sick sinus syndrome. Paper speed is 12.5

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Tachycardia Bradycardia 52

All About Cardiovascular System and Disorders

MARCH 23, 2024

Sometimes, head up tilt test, also known in short as HUTT, is also done for the evaluation of postural orthostatic tachycardia syndrome, POTS, a condition in which there is tachycardia on standing up, without a fall in blood pressure. Second is cardioinhibitory response, in which there is bradycardia, but no hypotension.

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Blood Pressure Bradycardia POTS Tachycardia 52

Dr. Smith's ECG Blog

OCTOBER 7, 2019

Both of these features make inferior + RV MI by far the most likely ( Pseudoanteroseptal MI is another name for this ) There is also sinus bradycardia and t he patient is in shock with hypotension. A narrow complex bradycardia without any P-waves is also likely to respond to atropine, as it may be a junctional rhythm.

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Bradycardia Cardiogenic Shock STEMI Ischemia 52

Dr. Smith's ECG Blog

JANUARY 23, 2024

Shortly after isoprenalin infusion was initiated, there were short runs of ventricular tachycardia. For example — bradycardia and AV conduction disturbances are not uncommon with Hyperkalemia , with these conduction disturbances most often resolving once serum K+ is corrected. She was started on isoprenalin (isoproterenol).

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Tachycardia Arrhythmia Heart Disease Sudden Cardiac Death 84

Heart BMJ

JUNE 17, 2024

This is often secondary to sinus tachycardia, sinus bradycardia and sinus arrhythmia, or isolated premature atrial or ventricular arrhythmias (VAs). To be aware of important medication contraindications during pregnancy and lactation, as they pertain to arrhythmia management and anticoagulation. 2–4.

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Arrhythmia Bradycardia Document Tachycardia 45

Dr. Smith's ECG Blog

JUNE 23, 2023

A 50-something male with unspecified history of cardiomyopathy presented in diabetic ketoacidosis (without significant hyperkalemia) with a wide complex tachycardia and hypotension. Analysis: there is a wide complex tachycardia. This was the interpretation I put into the system: WIDE COMPLEX TACHYCARDIA. It is regular.

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Tachycardia Cardiomyopathy Arrhythmia Diabetes 52

Cardiomatics

APRIL 5, 2024

Sinus tachycardia – sinus rhythm above 100 bpm is a sinus tachycardia. Sinus bradycardia – sinus rhythm below 60 bpm is a sinus bradycardia. Ventricular tachycardia – more than 7 consecutive complexes originating from ventricles at a rate of > 100 bpm. Usually does not exceed 160 bpm.

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Arrhythmia Tachycardia Bradycardia Electrocardiogram 92

Dr. Smith's ECG Blog

DECEMBER 23, 2019

Initial ECG in the ED: Presenting ECG : Wide-complex tachycardia at a rate about 200. This is overwhelmingly likely to be ventricular tachycardia, even if only age and medical history are considered. Nevertheless, the widths of both the QRS complex and the RS duration are similar in both the old ECG and the tachycardia.

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Tachycardia Atrial Flutter Cardiomyopathy Atrial Fibrillation 52

Ken Grauer, MD

JUNE 2, 2023

to 1828 msec. ) — which corresponds to a variation in the rate of sinus bradycardia from 36-to-33/minute. This makes sense given that the underlying rhythm in today's case appears to be marked sinus bradycardia and arrhythmia , with a ventricular escape rhythm appearing when the SA node rate drops below 33/minute.

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Blog Bradycardia Arrhythmia Tachycardia 78

Dr. Smith's ECG Blog

DECEMBER 16, 2018

Wide-complex tachycardia: VT or aberrant, or "other?" A wide-complex tachycardia in an older patient must immediately suggest ventricular tachycardia. Sinus tachycardia with aberrancy was unlikely as the rate was consistently 150 bpm, without spontaneous variation. second ), in which the tachycardia is sustained.

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Tachycardia Atrial Flutter AFIB Atrial Fibrillation 52

Dr. Smith's ECG Blog

OCTOBER 18, 2023

During the night, while on telemetry, the patient became bradycardic, with periods of isorhythmic AV dissociation (nodal escape rhythm alternating with sinus bradycardia), and there were sporadic PVCs. The above ECGs show the initiation and continuation of a polymorphic ventricular tachycardia.

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Cardiac Arrest Tachycardia Cardiomyopathy Bradycardia 104

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

The ECG shows sinus tachycardia with RBBB and LAFB, without clear additional superimposed signs of ischemia. The Initial ECG in Today's Case: As per Dr. Meyers — the initial ECG in today's case shows sinus tachycardia with bifascicular block ( = RBBB/LAHB ). Sinus Tachycardia ( common in any trauma patient. ).

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Tachycardia Dysrhythmia Atrial Fibrillation Bradycardia 107

Dr. Smith's ECG Blog

APRIL 15, 2019

Here was his initial ED ECG: There is sinus tachycardia at a rate of about 140 There is profound ST Elevation across all precordial leads, as well as I and aVL. I said I think there is a fixed stenosis in the LAD and the tachycardia and stress caused a type 2 STEMI.

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Tachycardia STEMI Chest Pain Ischemia 52

Dr. Smith's ECG Blog

JUNE 27, 2024

EMS reports intermittent sinus tachycardia and bradycardia secondary to some type of heart block during transport. It is hard to make out P waves but you can see them best in V2, and notches in the T waves in other leads - this is a sinus tachycardia with a very long PR interval indicating first degree block.

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Blog Pacemaker Bradycardia Tachycardia 117

Open Heart

JULY 28, 2023

The primary endpoint is new-onset 6 min or more persistent AF detected by ILR.

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Atrial Fibrillation Arrhythmia Heart Failure Tachycardia 40

Journal of Cardiovascular Electrophysiology

DECEMBER 1, 2023

Abstract Introduction Severe transitory episodes of bradycardia with subsequent syncope in children are common, and generally portend a benign prognosis. with one documented SP after termination of atrial tachycardia at the 3-month follow-up. The median longest pause was 8.9 s s (range 3.9–16.8) s (range 0.8–2.2)

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Pediatrics Document Bradycardia Pacemaker 40

Dr. Smith's ECG Blog

JULY 21, 2024

This progressed to electrical storm , with incessant PolyMorphic Ventricular Tachycardia ( PMVT ) and recurrent episodes of Ventricular Fibrillation ( VFib ). There was no evidence bradycardia leading up to the runs of PMVT ( as tends to occur with Torsades ). He required multiple defibrillations within a period of a few hours.

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Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 113

Ken Grauer, MD

DECEMBER 23, 2023

RBBB is no longer seen after conversion to sinus rhythm — which supports our suspicion that the intermittent RBBB conduction seen every-other-beat during the tachycardia ( in Figure-1 ) was rate-related. Note that QRS morphology after conversion to sinus rhythm is very similar to QRS morphology of odd-numbered beats during the tachycardia.

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Blog Tachycardia Tricuspid Atrial Flutter 176

Dr. Smith's ECG Blog

FEBRUARY 27, 2023

Descriptive analysis of the ECG in today's case reveals a regular, narrow tachycardia at ~130/minute , without clear sign of sinus P waves. But the rate is ~130/minute — which is a bit fast for sinus tachycardia. So IF this is sinus tachycardia with a sinoventricular rhythm — then we have to explain WHY the rate is this fast.

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Tachycardia Document Blog Bradycardia 52

Ken Grauer, MD

NOVEMBER 15, 2024

MY Thoughts on ECG #1: The rhythm is sinus bradycardia at a rate just under 60/minute. There is sinus tachycardia at ~100/minute — with diffuse ST-T wave depression. Figure-1: The initial ECG in today's case — obtained from a woman with CP. ( To improve visualization — I've digitized the original ECG using PMcardio ).

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Blog Cardiomyopathy Hospital Tachycardia 164

EMS 12-Lead

JULY 21, 2022

We have borderline sinus bradycardia with 1 ° AVB and occasional PACs. If this was a tachycardia at a rate of 150, it might appear to be a narrow complex tachycardia, when in fact, it would be a wide complex tachycardia! ECG diagnosis: Borderline sinus bradycardia, 1st degree AVB, RBBB, and occasional PACs.

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Bradycardia Tachycardia STEMI Chest Pain 52

Conquering CHD

JULY 11, 2023

A rapid heartbeat (tachycardia) can increase the workload on your heart, while a slow heartbeat (bradycardia) can cause fatigue and dizziness. It’s crucial to monitor your blood pressure regularly and report any significant changes to your healthcare provider so they can adjust the dosage of the medication accordingly.

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Congenital Heart Disease Congenital Heart Disease Blood Clot 52

Dr. Smith's ECG Blog

MAY 5, 2022

After initiating treatment for hyperkalemia, repeat ECG showed resolution of Brugada pattern: The ECG shows sinus tachycardia. ST elevation in aVL with reciprocal ST depression in the inferior leads Shock, bradycardia, ST Elevation in V1 and V2. He also received insulin with D50, sodium bicarbonate, and kayexalate for hyperkalemia.

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Chest Pain Bradycardia Cardiac Arrest STEMI 52

Wellnest

JUNE 19, 2023

Similarly, you may use our , app to adjust the paper speed along with amplification to read the slightest changes, especially for conditions like tachycardia and bradycardia. The novel technology system present in 12L ECG helps us analyze unrecognizable ECG patterns that are hard to detect by human eyes.

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Technology Cardiac Arrest Innovation Coronary Artery Disease 52

Dr. Smith's ECG Blog

APRIL 6, 2018

There is a regular, wide complex, (mostly) monomorphic tachycardia. The differential of wide, regular, monomorphic tachycardia is: VT or SVT with aberrancy, all +/- hyperkalemia (see diagrams below). Really wide tachycardia = VT or SVT with conduction abnormality + hyperkalemia, until proven otherwise.

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Cardiac Arrest Tachycardia Defibrillator ICU 52

Dr. Smith's ECG Blog

OCTOBER 25, 2023

ECG is consistent with severe hypokalemia and/or hypomagnesemia causing prolonged QT (QU) at high risk of Torsades (which is polymorphic ventricular tachycardia in the setting of a long QT interval). Polymorphic Ventricular Tachycardia Long QT Syndrome with Continuously Recurrent Polymorphic VT: Management Cardiac Arrest. Is it STEMI?

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Ischemia Chest Pain Cardiac Arrest Blog 112

All About Cardiovascular System and Disorders

MARCH 17, 2024

And, after the shock, if there is bradycardia, it can be covered by these two pacing electrodes, one at the tip, and one proximal to it. Second reason is that they have more of ventricular fibrillation than ventricular tachycardia. These are high voltage, defibrillator shock coils.

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Myocardial Infarction Defibrillator Sudden Cardiac Death Arrhythmia 52

Dr. Smith's ECG Blog

OCTOBER 20, 2024

As per Dr. Nossen — today's initial ECG ( LEFT tracing in Figure-2 ) shows sinus bradycardia with QRS widening due to bifascicular block ( RBBB/LAHB ). There is marked, diffuse ST segment depression in ECG #1.

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Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest 125

Ken Grauer, MD

JULY 18, 2024

As a result, rather than atrial tachycardia — I suspect we are seeing a slightly increased sinus rate with the above described 2nd-degree dual-level AV block. As a result, if significant bradycardia persists ( especially if accompanied by symptoms ) — then pacing may be needed.

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Blog Arrhythmia Bradycardia Pacemaker 87

Wellnest

DECEMBER 21, 2022

A fast heartbeat is called tachycardia, while a slow heartbeat is called bradycardia in medical terms. Arrhythmia In simple words, arrhythmia refers to an irregular heartbeat. If your heart beats too slowly, too quickly, or irregularly, an ECG will easily detect it. Heart defects EKG monitor also detects the defects of the heart.

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Cardiac Arrest Heart Attack Heart attacks Atrial Fibrillation 52

EMS 12-Lead

MARCH 19, 2023

The shortened PR-interval, specifically, proved to be quite beguiling as it swept crews down a differential diagnosis of intermittent accessory pathway syndrome – insomuch as a “syndrome” of recurrent tachycardia to account for the patient’s symptoms.

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Myocardial Infarction STEMI Coronary Angiogram Coronary Artery Disease 52

Dr. Smith's ECG Blog

JANUARY 21, 2023

This ECG shows a sinus bradycardia with a normal conduction pattern (normal PR, normal QRS, and normal QTc), normal axis, normal R-wave progression, normal voltages. Hypothermia can also produce bradycardia and J waves, with a pseudo-STEMI pattern. There is marked sinus bradycardia. What do you think? As per Drs.

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STEMI Bradycardia Arrhythmia Cardiac Arrest 52

Dr. Smith's ECG Blog

OCTOBER 11, 2020

Other than tachycardia, Other than slight tachycardia, vitals were within normal limits (including oxygen saturation). The rhythm in ECG #1 is sinus tachycardia at 115-120/minute. There is still sinus tachycardia in ECG #2 — although the heart rate has now slowed to ~100/minute. Apparently he denied chest pain.

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Chest Pain STEMI Blog Tachycardia 52

Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

But there are 3 other wide beats in the tachycardia that begins with beat #6 ( = beats #7; 13,14 ). To Emphasize: Although beat #6 is wide — this beat is also a PAC ( the BLUE arrow highlighting the premature P wave preceding beat #6 that notches the T wave of beat #5 ).

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Cardiac Arrest Cardiomyopathy Arrhythmia Atrial Fibrillation 67

Dr. Smith's ECG Blog

OCTOBER 15, 2024

He had multiple episodes of bradycardia and nonsustained ventricular tachycardia. Serial high sensitivity troponin T (URL 15 ng/L) values were negative and stagnant. Patient 1 remained in the hospital overnight. He went to the cath lab at 0900 the next morning. It was stented.

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Chest Pain STEMI Echocardiogram Stent 106

Dr. Smith's ECG Blog

OCTOBER 8, 2023

I completely agree with Dr. Nossen that in this patient with new CP and sinus tachycardia with LAHB — that the T waves in each of the inferior leads are hyperacute ( ie, clearly disproportionately "bulky" given size of the QRS in these leads ). — and which other patient(s) need to be seen as soon as possible to figure out what is going on?

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Ischemia Chest Pain Cardiogenic Shock Cardiac Arrest 109