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A young lady with wide complex tachycardia. My first time actually making this diagnosis de novo in real life in the ED!

Dr. Smith's ECG Blog

My bedside ultrasound was of insufficient quality, but showed somewhat reduced overall EF, distended IVC without respiratory variation, no pericardial effusion, and diffuse bilateral B lines. == What do you think of her ECG? J Electrocardiol, 42 (2009), pp.

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Viral symptoms, then acute chest pain and this ECG. What do you do?

Dr. Smith's ECG Blog

Here is the parasternal short axis, performed by a real expert in emergency department point of care cardiac ultrasound: There does not appear to be an anterior wall motion abnormality. Beware a negative Bedside ultrasound. Exam revealed no friction rub What do you want to do? A bedside echo was done immediately. What happens then?