Remove Coronary Angiogram Remove Defibrillator Remove Echocardiogram
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Torsade in a patient with left bundle branch block: is there a long QT? (And: Left Bundle Pacing).

Dr. Smith's ECG Blog

Finally, do a coronary angiogram Possible alternative to pacing is to give a beta-1 agonist to increase heart rate. Because she has cardiomyopathy and ventricular dysrhythmias, the pacer included an Implanted Cardioverter-Defibrillator (ICD) Echo 6 days later after CRT: Normal estimated left ventricular ejection fraction.

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Case Report: Lacosamide unmasking SCN5A-associated Brugada syndrome in a young female with epilepsy

Frontiers in Cardiovascular Medicine

Workup including routine laboratory results, 12-lead electrocardiogram (ECG), echocardiogram, and coronary angiogram was non-specific. During the intravenous lacosamide infusion, the patient developed sudden cardiac arrest caused by ventricular arrhythmias necessitating resuscitation. 2893C>T, p.Arg965Cys) in the SCN5A gene.

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Case Report: Comprehensive evaluation of ECG phenotypes and genotypes in a family with Brugada syndrome carrying SCN5A-R376H

Frontiers in Cardiovascular Medicine

The routine laboratory results, imaging study, coronary angiogram, and echocardiogram (ECG) were normal. For secondary prevention, the patient underwent implantable cardioverter defibrillator implantation. The patient did not have underlying diseases. A type 1 BrS pattern was identified in one resting ECG.

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A man with chest pain off and on for two days, and "No STEMI" at triage.

Dr. Smith's ECG Blog

During angiogram in the cath lab, the patient suffered two episodes of ventricular fibrillation for which he was successfully defibrillated. Angiogram showed a culprit lesion of 100% stenosis to the right coronary artery and 100% stenosis of the right posterior descending artery, both with TIMI 0 flow.

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What Lies Beneath

EMS 12-Lead

We can, therefore, put down the defibrillation pads, set aside the amiodarone, and look further at the ECG. Indeed, bedside Echocardiogram revealed severe left ventricular impairment of Takotsubo cardiomyopathy. The coronary angiogram revealed no critical stenosis, or acute plaque ulceration.

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Electrical instability in a healthy 50 year old. How to manage?

Dr. Smith's ECG Blog

CT coronary angiogram showed a hypoplastic RCA and dominant LCx. Most patients can be managed without and implantable cardioverter defibrillator (ICD) In patients with PVCs/VT and a presentation not typical for an idiopathic origin cardiac magnetic resonance (CMR) should be considered, even if the Echo is normal.