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Does this T wave pattern mean anything?

Dr. Smith's ECG Blog

Edited by Bracey, Meyers, Grauer, and Smith A 50-something-year-old female with a history of an unknown personality disorder and alcohol use disorder arrived via EMS following cardiac arrest with return of spontaneous circulation. She was successfully revived after several rounds of ACLS including defibrillation and amiodarone.

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Severe shock, obtunded, and a diagnostic prehospital ECG. Also: How did this happen?

Dr. Smith's ECG Blog

If cardiac arrest from hypokalemia is imminent (i.e., Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." As I indicated above, in our cardiac arrest case, after pushing 40 mEq, the K only went up to 4.2 How would you treat? mEq/L, from 1.9

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STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

At cath, he immediately had incessant Torsades de Pointes requiring defibrillation 7 times and requiring placement of a transvenous pacer for overdrive pacing at a rate of 80. If cardiac arrest from hypokalemia is imminent (i.e., As I indicated above, in our cardiac arrest case, after pushing 40 mEq, the K only went up to 4.2

STEMI 52
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What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

He required multiple defibrillations within a period of a few hours. This time, the arrhythmia did not spontaneously terminate — but rather degenerated to VFib, requiring defibrillation. In both tracings — an exceedingly fast PMVT is documented. An ICD ( Implantable Cardioverter Defibrilator ) was placed prior to discharge.

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Declining Trend of Sudden Cardiac Death in Younger Individuals: A 20-Year Nationwide Study

Circulation

BACKGROUND:Declining cardiovascular mortality rates have been well-documented, yet temporal trends of sudden cardiac death (SCD) in young individuals remain unclear. to 28%, mainly because of increased bystander cardiopulmonary resuscitation and defibrillation rates.

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Rate vs Rhythm Control in Atrial Fibrillation

All About Cardiovascular System and Disorders

CASTLE-AF randomized 363 patients with atrial fibrillation and left ventricular ejection fraction of 35% or less, NYHA class II-IV heart failure and having an implanted defibrillator to either catheter ablation or medical therapy with rate or rhythm control [5]. 2019 Apr 2;321(13):1261-1274. doi: 10.1001/jama.2019.0693.

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Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

Our patient had a Brugada Type 1 pattern elicited by an elevated core temperature, which is also a documented phenomenon. Drugs that have been associated with Brugada ECG patterns include tricyclic antidepressants, anesthetics, cocaine , methadone, antihistamines, electrolyte derangements, and even tramadol. [2].