Dr. Smith's ECG Blog

JANUARY 2, 2025

Place temporary pacemaker 3. Finally, do a coronary angiogram Possible alternative to pacing is to give a beta-1 agonist to increase heart rate. See this post: How a pause can cause cardiac arrest 2. Discontinue amiodarone, since it prolongs the QT 4. Discontinue all QT proloning medications, including azithromycin 6.

Tachycardia 116

Tachycardia Cardiomyopathy Blog Bradycardia 116

Circulation

NOVEMBER 11, 2024

Her heart failure was due to the fistula as she had no coronary artery disease on coronary angiogram. Postoperatively, she developed complete heart block requiring a permanent pacemaker. She had cardiothoracic surgery for fistula repair.

Heart Failure 40

Heart Failure Coronary Angiogram Echocardiogram Aneurysm 40

Dr. Smith's ECG Blog

JUNE 19, 2024

Three months prior to this presentation, he received a pacemaker for severe bradycardia and syncope due to sinus node dysfunction. The ED provider ordered a coronary CT scan to assess the patient for CAD. The patient was taken emergently to the cath lab for a pericardiocentesis instead of a coronary angiogram.

Chest Pain 60

Chest Pain Pericarditis Pacemaker STEMI 60

Dr. Smith's ECG Blog

MAY 19, 2022

Ct coronary angiogram showed normal coronary arteries. Smith note: I think CT coronary angiogram is reasonable with the elevated troponins and symptoms. This gradual change in P wave morphology as the heart rate varies could be consistent with a wandering atrial pacemaker.

Chest Pain 52

Chest Pain Exercise Pacemaker Coronary Angiogram 52