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David Didlake EMT-P, RN, ACNP @DidlakeDW An adult male self-presented to the ED with palpitations and the following ECG. 2. Baseline fibrotic substrate from dilated cardiomyopathy leading to VT. The patient was very uncomfortable, dyspneic, and displayed an SpO2 90% on RA.
They had a history of non-ischemic cardiomyopathy (EF 30%), as well as PCI with one stent. Although the emergency physician (along with an APRN and an RN) had not seen any alterations in the rhythm after adenosine was pushed, a paper recording of the episode was subsequently unearthed. A surprise clue!
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Cardiomyopathy 
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