Remove Defibrillator Remove Ischemia Remove Sudden Cardiac Death
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ECG Blog #436 — Bigeminy or Alternans?

Ken Grauer, MD

Acute myocardial ischemia. Cardiac Sarcoidosis. Primary Cardiac Tumors and/or Cardiac Metastasis. C ASE C onclusion: As noted above — today's patient developed cardiac arrest shortly after arrival in the ED. Despite prolonged resuscitation with multiple defibrillation attempts — the patient could not be saved. =

Blog 161
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Why ICDs are less effective in Non Ischemic DCM ?

Dr. S. Venkatesan MD

Tackling SCD was in God’s domain, until the brilliance of Dr. Michel Mirowski shrunk the defibrillator and implanted it under the chest in 1980. (Dr. The simple reason could be we can address the ischemia a potential arrhythmic target by some form of revascularization in IDCM. Still, our understanding is largely incomplete.

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Seizure in a 30 something

Dr. Smith's ECG Blog

This episode self terminated before defibrillation was possible. The patient did not have a positive family history of epilepsy, sudden cardiac death (SCD) or recurrent syncope. This run of TdP is initiated by a PVC — but it then self-terminates. Discussion : The patient in today’s case presented with "seizures".

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What kind of AV block is this? And why does she develop Ventricular Tachycardia?

Dr. Smith's ECG Blog

Extensive conduction system abnormalities can have various causes (ischemia, genetic, infectious, amyloid, etc). The biopsy was consistent with cardiac sarcoidosis. She was given CRT-D (Cardiac Resynchronization Therapy-Defibrillator). Usually the medical history will provide clues to the cause.

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Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

The limb lead abnormalities appear to be part of the Brugada pattern, as described in this article: Inferior and Lateral Electrocardiographic RepolarizationAbnormalities in Brugada Syndrome Discussion Brugada Type 1 ECG changes are associated with sudden cardiac death (SCD) and the occurrence of ventricular dysrhythmias.