Dr. Smith's ECG Blog
JUNE 2, 2023
Despite otherwise normal vital signs, she was appropriately triaged to the critical care area of the ED. She was awake, alert, well perfused, with normal mental status and overall unremarkable physical exam except for a regular tachycardia, possible rales at both bases, some mild RUQ abdominal tenderness. What is the Diagnosis?
Dr. Smith's ECG Blog
OCTOBER 26, 2010
He was rushed by residents into our critical care room with a diagnosis of STEMI, and they handed me this ECG: There is sinus tachycardia with ST elevation in II, III, and aVF, as well as V4-V6. ACS and STEMI generally do not cause tachycardia unless there is cardiogenic shock. He had this ECG recorded.
Dr. Smith's ECG Blog
AUGUST 13, 2020
His previous echo one month prior shows the same thing: “consistent with old infarct in LAD vascular territory, with EF 45%” "I think there is something else causing his tachycardia which is exaggerating his EKG findings and mimicking an acute myocardial infarction." The patient spontaneously converted back to sinus tachycardia.
Dr. Smith's ECG Blog
JULY 5, 2024
There is a regular wide complex tachycardia. I brought the patient to the critical care area and told the providers I thought it was atrial flutter with 2:1 AV conduction, but there is an outside chance that it is VT. Remember : Adenosine is safe in Regular Wide Complex Tachycardia. If it is VT, there will be no effect.
Dr. Smith's ECG Blog
JANUARY 15, 2024
Colin is an emergency medicine resident beginning his critical care fellowship in the summer with a strong interest in the role of ECG in critical care and OMI. We can see enough to make out that the rhythm is sinus tachycardia. Written by Colin Jenkins. Edits by Willy Frick.
Dr. Smith's ECG Blog
APRIL 8, 2016
See here for management of Polymorphic Ventricular Tachycardia , which includes Torsades. Crit Care Med. 1991 May;19(5):694-9 Objective: To evaluate the efficacy and safety of potassium replacement infusions in critically ill patients. Setting: Multidisciplinary critical care unit. Design: Prospective cohort study.
Dr. Smith's ECG Blog
MAY 5, 2022
After initiating treatment for hyperkalemia, repeat ECG showed resolution of Brugada pattern: The ECG shows sinus tachycardia. It is critically important for all EM and critical care providers to have an intimate understanding of hyperkalemia and its ECG findings. A Very Wide Complex Tachycardia. Use Lewis Leads!!
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