article thumbnail

WHAT EXACTLY IS AN ARRHYTHMIA?

Dr. Sanjay Gupta

A cardiac arrhythmia therefore means loss of cardiac rhythm. It is however used in medical practice as a description for disturbance rather than absence of heart rhythm. The heart is a pump and its role is to work as efficiently as possible to try and get oxygen rich blood round to all the vital organs of the body.

article thumbnail

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

Dr. Smith's ECG Blog

Heart Rhythm [Internet]. Because she has cardiomyopathy and ventricular dysrhythmias, the pacer included an Implanted Cardioverter-Defibrillator (ICD) Echo 6 days later after CRT: Normal estimated left ventricular ejection fraction. New formula for evaluation of the QT interval in patients with left bundle branch block.

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. Heart Rhythm, 13(7): 1515-1520. [2]:

article thumbnail

How to wean off Beta-blockers

Dr. Sanjay Gupta

This is mainly seen in patients who were taking the beta blocker for angina due to significant coronary disease and in a few of these patients, stopping the beta blocker was associated with more angina and even development of heart attacks.

article thumbnail

The three things that can go wrong with the heart

Dr. Sanjay Gupta

The heart is an electrical organ and occasionally the electrics can choose to malfunction and the patient may develop a heart rhythm disturbance or a dysrhythmia such as AF or SVT or VT. Unfortunately it is very difficult to predict a heart rhythm disturbance. You can only diagnose it in retrospect.

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.