Remove Chest Pain Remove Dysrhythmia Remove Heart Disease
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An adolescent with trauma, chest pain, and a wide complex rhythm

Dr. Smith's ECG Blog

There was apparently no syncope and he had no bony injuries, but he did complain of left sided chest pain. His chest was tender. Accelerated ventricular rhythm in children: a review and report of a case with congenital heart disease 3. A bedside cardiac ultrasound was normal. He wrote: "ECG 1 - shows wide ???IVCD

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WHAT EXACTLY IS AN ARRHYTHMIA?

Dr. Sanjay Gupta

It is however used in medical practice as a description for disturbance rather than absence of heart rhythm. In that sense, the term dysrhythmia is preferable because it does literally translate as a disturbance in normal rhythm which is exactly what it is meant to describe. A cardiac arrhythmia therefore means loss of cardiac rhythm.

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A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?

Dr. Smith's ECG Blog

He had concurrent sharp substernal chest pain that resolved, but palpitations continued. Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. If you don't know what the dysrhythmia is, then try procainamide. What to do now? So I would give procainamide.

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Back to basics: what is this rhythm? What are your options for treating this patient?

Dr. Smith's ECG Blog

She reports that she is now unable to vagal out of her palpitations and is having shortness of breath and dull chest pain. But adenosine only lasts for seconds, and if the dysrhythmia recurs, then the adenosine is gone. Prevent the initiation of the dysrhythmia -- this can be done with a beta blocker by prenenting PACS 2.

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60-something with wide complex tachycardia: from where does the rhythm originate?

Dr. Smith's ECG Blog

Inferior MI results in scar tissue which is a likely source of a re-entrant ventricular dysrhythmia. Angiogram: Severe coronary artery calcification Moderate to severe distal small vessel disease mainly seen in RPL1, 2 Otherwise, Mild plaque, no angiographically significant obstructive coronary artery disease.

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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. 10 The 2014 ACC/AHA guidelines for the Management of Patients with Valvular Heart Disease , referencing this article, gives this recommendation: "CLASS IIb 1.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Vasovagal predisposition (warm crowded place, prolonged standing, fear, emotion, pain: (-1) 2.