A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?
Dr. Smith's ECG Blog
SEPTEMBER 19, 2023
I find AV dissociation in VT to be very difficult to differentiate from artifact, as there are always random blips on tachycardia tracings. If you don't know what the dysrhythmia is, then try procainamide. Cardiology was consulted and the patient underwent coronary angiogram which showed diffuse severe three-vessel disease.
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