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Formal echocardiogram showed normal EF, no wall motion abnormalities, no pericardial effusion. There were no dysrhythmias on cardiac monitor during observation. She has not yet been seen by electrophysiology or had further genetic testing for Brugada syndrome. No more troponins were done. He was found to be influenza positive.
A formal echocardiogram was completed the next day and again showed a normal ejection fraction without any focal wall motion abnormalities to suggest CAD. She has not yet been seen by electrophysiology or had further genetic testing for Brugada syndrome. The Troponin I was cycled over time and was 0.353 followed by 0.296.
I have ordered an echocardiogram which will be done today, after that patient can be discharged to home with follow-up in 2 to 3 months." Admission and referral to electrophysiology is always indicated. The echo was normal. Learning points 1. These tachydysrhythmias are so fast that they can degenerate into ventricular fibrillation.
Dysrhythmia, pacer), 4) valvular heart disease, 5) FHx sudden death, 6) volume depletion, 7) persistent abnormal vitals, 8) primary CNS event __ 3) Mendu ML et al. Electrophysiologic studies were performed in selected patients only as clinically appropriate. Logistic regression was used to identify predictors for the risk-score system.
Later, he underwent a formal echocardiogram: Very severe left ventricular enlargement (LVED diameter 7.4 Patient course The patient was started on beta blockers and schedule for an electrophysiologic study. A bedside POC cardiac ultrasound was done: Findings: Decreased left ventricular systolic function. Try adenosine.
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