Remove Dysrhythmia Remove Echocardiogram Remove Exercise
article thumbnail

The three things that can go wrong with the heart

Dr. Sanjay Gupta

The problem with both these tests are that they study the heart at rest and sometimes abnormalities may be picked up only when the heart is stressed and therefore combining these modalities with a stress test can be even more helpful and by far the best form of stress is exercise. You can only diagnose it in retrospect.

Plaque 40
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." The echo was normal. Learning points 1. In this regular wide complex tachycardia , since the rhythm converted w adenosine, it is almost certainly SVT w aberrancy, which can be either: A.

article thumbnail

60-something with wide complex tachycardia: from where does the rhythm originate?

Dr. Smith's ECG Blog

Inferior MI results in scar tissue which is a likely source of a re-entrant ventricular dysrhythmia. Echocardiogram: Estimated left ventricular ejection fraction, lower limits of normal; 45-50%. In my experience — sinus tach rarely exceeds 170/minute in a non-exercising adult patient. This would be the likely source of the VT.