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

Dr. Smith's ECG Blog

Admission and referral to electrophysiology is always indicated. In this case, it was able to conduct at a rate of 257 (down the AV node, then up the bypass tract) 6. These tachydysrhythmias are so fast that they can degenerate into ventricular fibrillation. Unrecognized paroxysmal supraventricular tachycardia.

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STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

Could the dysrhythmias have been prevented? 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 Severe hypokalemia in the setting of STEMI or dysrhythmias is life-threatening and needs very rapid treatment.

STEMI 52
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A man in his 70s with weakness and syncope

Dr. Smith's ECG Blog

There were no dysrhythmias on cardiac monitor during observation. This discussion comes from this previous post: Hyperthermia and ST Elevation Discussion Brugada Type 1 ECG changes are associated with sudden cardiac death (SCD) and the occurrence of ventricular dysrhythmias. He was found to be influenza positive.

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Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

The limb lead abnormalities appear to be part of the Brugada pattern, as described in this article: Inferior and Lateral Electrocardiographic RepolarizationAbnormalities in Brugada Syndrome Discussion Brugada Type 1 ECG changes are associated with sudden cardiac death (SCD) and the occurrence of ventricular dysrhythmias.