Defibrillator, Dysrhythmia and Embolism

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Defibrillator

Dysrhythmia

Embolism

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

Dr. Smith's ECG Blog

JANUARY 2, 2025

CT of the chest showed no pulmonary embolism but bibasilar infiltrates. 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. She was intubated. No wall motion abnormality.

Tachycardia

Tachycardia Cardiomyopathy Blog Bradycardia

A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

OCTOBER 10, 2022

It was reportedly a PEA arrest; there was no recorded V Fib and no defibrillation. The morphology of V2-V4 is very specific in my experience for acute right heart strain (which has many potential etiologies, but none more common and important in EM than acute pulmonary embolism). CT angiogram showed extensive saddle pulmonary embolism.

Cardiac Arrest

Cardiac Arrest Chest Pain Embolism Pulmonary

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

A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

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