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Torsade in a patient with left bundle branch block: is there a long QT? (And: Left Bundle Pacing).

Dr. Smith's ECG Blog

Permanent pacer placement Later, a biventricular pacer was placed for " Cardiac Resynchronization Therapy (CRT) " (This is indicated for patients with LBBB and QRS duration > 130 ms and heart failure and vastly improves heart failure). See Dr. Karim's further thoughts on this below. No wall motion abnormality.

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Chung-Ang University Study Looks at Cardiovascular Risks in COVID-19 Survivors

DAIC

Imge courtesy of Won-Young Kim from Chung-Ang University milla1cf Thu, 01/11/2024 - 08:30 January 11, 2024 — Acute cardiovascular manifestations of COVID-19 , such as heart failure, thrombosis, and dysrhythmia, are associated with increased mortality.

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How to wean off Beta-blockers

Dr. Sanjay Gupta

Beta blockers can be used as a treatment for heart failure. Similarly, there have been case reports of patients who were taking beta blockers to control dangerous heart rhythm disturbances and when the beta blocker was abruptly stopped it led to precipitation of ventricular dysrhythmias and even in some cases death.

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Diffuse ST depression, and ST elevation in aVR. Left main, right?

Dr. Smith's ECG Blog

Opinions vary widely on the K level at which a patient must be admitted on a monitor because of the risk of ventricular dysrhythmias. My rationale is that if the K is affecting the ECG, then it is affecting the electrical milieu and can result in serious dysrhythmias. Until some real data is available, my opinion is this: 1.

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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
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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

In cardiogenic shock, fluid may worsen the pulmonary edema associated with acute heart failure, but may still be required to support the hemodynamic status of the patient. This may be secondary to multiple factors, including decreased cardiac contractility (ie.

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

Dr. Smith's ECG Blog

NT-proBNP values less than 300 pg/ml have a 99% negative predictive value for excluding congestive heart failure. A cutoff of 1200 pg/ml for patients with a normal eGFR is very specific for heart failure. Troponin I was 0.054 ng/mL NT-ProBNP was 8316 (0-900 pg/mL). "