Chest Pain Electrophysiology Tachycardia 
Dr. Smith's ECG Blog
JANUARY 9, 2024
She had a single chamber ICD/Pacemaker implanted several years prior due to ventricular tachycardia. She presented to the emergency department after a couple of days of chest discomfort. Answer : The ECG above shows a regular wide complex tachycardia. Cardiac output (CO) was being maintained by the tachycardia.
Dr. Smith's ECG Blog
JUNE 11, 2023
Written by Bobby Nicholson MD and Pendell Meyers A man in his 30s presented to the ED for evaluation of chest pain and palpitations. The ECGs show a wide complex, irregularly irregular tachycardia. At this point, the patient had been symptomatic for almost 5 hours, appeared unwell with chest pain and diaphoresis.
Dr. Smith's ECG Blog
MAY 7, 2024
A 30-something presented with chest pain, palpitations, and SOB. The two ECGs above were texted to me with the text: "Young Guy came in in SVT but now in and out of irregular wide complex tachycardia. -- not sure if polymorphic VT vs. a fib with WPW." He has had similar symptoms for 4 years, but has never been evaluated.
Circulation: Arrhythmia and Electrophysiology
DECEMBER 21, 2023
Circulation: Arrhythmia and Electrophysiology, Ahead of Print. Postablation chest pain consistent with pericarditis was reduced with colchicine (4% versus 15%; HR, 0.26 [95% CI, 0.09–0.77];P=0.02) BACKGROUND:Inflammation may promote atrial fibrillation (AF) recurrence after catheter ablation. 2.02];P=0.89). 1.99];P=0.55).CONCLUSIONS:Colchicine
Dr. Sanjay Gupta
AUGUST 31, 2022
POTS stands for postural orthostatic tachycardia syndrome. Let’s call it Postural Orthostatic Tachycardia Syndrome – that’s not really a diagnosis – it’s just a medical jargon filled term for what the patient has just told us. What is POTS? When you examine them, the heart rate can be found to be excessively fast.
Dr. Smith's ECG Blog
NOVEMBER 25, 2022
2 weeks Here is the final electrophysiology note: It is unclear what precipitated his motor vehicle collision. ECG of pneumopericardium and probable myocardial contusion shows typical pericarditis Male in 30's, 2 days after Motor Vehicle Collsion, complains of Chest Pain and Dyspnea Head On Motor Vehicle Collision.
Dr. Smith's ECG Blog
MARCH 6, 2020
This middle-aged man with no cardiac history but with significant history of methamphetamin and alcohol use presented with chest pain and SOB, worsening over days, with orthopnea. Here was his ED ECG: There is sinus tachycardia (rate about 114) with nonspecific ST-T abnormalities. BP:143/99, Pulse 109, Temp 37.2 °C
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