Remove Dysrhythmia Remove Echocardiogram Remove Electrophysiology
article thumbnail

A man in his 70s with weakness and syncope

Dr. Smith's ECG Blog

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.

article thumbnail

Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

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.

article thumbnail

Young Man with a Heart Rate of 257. What is it and how to manage?

Dr. Smith's ECG Blog

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.

article thumbnail

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

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.

article thumbnail

New Onset Heart Failure and Frequent Prolonged SVT. What is it? Management?

Dr. Smith's ECG Blog

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.