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Inferior MI results in scar tissue which is a likely source of a re-entrant ventricular dysrhythmia. In summary — this leaves us with the abrupt onset of a regular WCT rhythm at ~185-190/minute ( that woke this nursing home patient up from a sound sleep ) — without any clear sign of atrial activity.
A late middle-aged man presented with one hour of chestpain. Could the dysrhythmias have been prevented? It would be difficult to get a nurse to give it faster! Severe hypokalemia in the setting of STEMI or dysrhythmias is life-threatening and needs very rapid treatment. Most recent echo showed EF of 60%.
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