article thumbnail

Instructors' Collection ECGs: Complete AV Block

ECG Guru

This is an interesting case for your students who want to delve into dysrhythmias with an eye on detail. I will start the discussion by admitting that I am not an expert of electrophysiology or complex dysrhythmias. I hope some of our dysrhythmia Gurus will delve into the rhythm and maybe even provide laddergrams.

article thumbnail

Instructors' Collection ECGs: AV Block

ECG Guru

This is an interesting case for your students who want to delve into dysrhythmias with an eye on detail. I will start the discussion by admitting that I am not an expert of electrophysiology or complex dysrhythmias. I hope some of our dysrhythmia Gurus will delve into the rhythm and maybe even provide laddergrams.

article thumbnail

A young man with another episode of tachycardia. What is it? And why give adenosine in sinus rhythm?

Dr. Smith's ECG Blog

The therapeutic and diagnostic cardiac electrophysiological uses of adenosine We can again see shortening of the PR interval and widening of the QRS complex with delta waves. But if you give adenosine, it completely shuts down the AV node and all conduction is then through the accessory pathway and will be very wide.

article thumbnail

A man in his 70s with weakness and syncope

Dr. Smith's ECG Blog

There were no dysrhythmias on cardiac monitor during observation. This discussion comes from this previous post: Hyperthermia and ST Elevation Discussion Brugada Type 1 ECG changes are associated with sudden cardiac death (SCD) and the occurrence of ventricular dysrhythmias. He was found to be influenza positive. Is there fever again?

article thumbnail

STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

Could the dysrhythmias have been prevented? Severe hypokalemia in the setting of STEMI or dysrhythmias is life-threatening and needs very rapid treatment. mmol/L (n = 11), and Measurements and Results: All patients tolerated the infusions without evidence of hemodynamic compromise, ECG change, or new dysrhythmia requiring treatment.

STEMI 52
article thumbnail

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.

article thumbnail

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

Dr. Smith's ECG Blog

Admission and referral to electrophysiology is always indicated. In this case, it was able to conduct at a rate of 257 (down the AV node, then up the bypass tract) 6. These tachydysrhythmias are so fast that they can degenerate into ventricular fibrillation. Unrecognized paroxysmal supraventricular tachycardia.