Dr. Smith's ECG Blog

JANUARY 2, 2025

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.

Tachycardia 116

Tachycardia Cardiomyopathy Blog Bradycardia 116

Dr. Smith's ECG Blog

JUNE 19, 2023

The patient has also developed sinus bradycardia, which may result from right coronary artery ischemia to the SA node. During angiogram in the cath lab, the patient suffered two episodes of ventricular fibrillation for which he was successfully defibrillated. Two stents were placed with resultant TIMI 3 flow.

Chest Pain 52

Chest Pain STEMI Cardiogenic Shock Bradycardia 52

Dr. Smith's ECG Blog

FEBRUARY 6, 2025

That said there were no clinical symptoms or ECG findings suggestive of ongoing ischemia. CT coronary angiogram showed a hypoplastic RCA and dominant LCx. You have given IV MgSO4 a fast acting -blocker and IV amiodarone bolus and infusion. Troponin T was negative on admission and on repeat blood draw. No PVCs are seen.

Tachycardia 72

Tachycardia Arrhythmia Atrial Flutter Ablation 72