Remove Cardiac Arrest Remove Dysrhythmia Remove Echocardiogram
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Young Man with a Heart Rate of 257. What is it and how to manage?

Dr. Smith's ECG Blog

I have ordered an echocardiogram which will be done today, after that patient can be discharged to home with follow-up in 2 to 3 months." The echo was normal. Learning points 1. In this regular wide complex tachycardia , since the rhythm converted w adenosine, it is almost certainly SVT w aberrancy, which can be either: A.

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A man in his 70s with weakness and syncope

Dr. Smith's ECG Blog

Formal echocardiogram showed normal EF, no wall motion abnormalities, no pericardial effusion. There were no dysrhythmias on cardiac monitor during observation. The patient proceeded to cath where all coronaries were described as normal with no evidence of any CAD, spasm, or any other abnormality. No more troponins were done.

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Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

A formal echocardiogram was completed the next day and again showed a normal ejection fraction without any focal wall motion abnormalities to suggest CAD. Cardiology was consulted and they agreed that the EKG had an atypical morphology for STEMI and did not activate the cath lab.