Dysrhythmia Hospital Tachycardia 
Dr. Smith's ECG Blog
SEPTEMBER 27, 2023
ECG#1 There is a regular tachycardia with a ventricular rate of about 180 bpm. Smith comment : When there is a regular wide complex tachycardia, first assess whether it is sinus or not. Is it sinus or is it a supraventricular dysrhythmia? Put shortly is SVT with "Shark Fin STE" and not ventricular tachycardia.
Dr. Smith's ECG Blog
JUNE 11, 2023
The ECGs show a wide complex, irregularly irregular tachycardia. This patient was admitted to the hospital and taken to the EP lab the following day. At that time, he presented via EMS and had received magnesium and lidocaine prehospital for concerns of ventricular tachycardia. 2 hrs later: Still sinus with subtler WPW.
Dr. Smith's ECG Blog
FEBRUARY 6, 2024
The ECG shows sinus tachycardia with RBBB and LAFB, without clear additional superimposed signs of ischemia. See these publications for more information Overall, management for cardiac contusion is mostly supportive unless surgical complications develop, involving appropriate treatment of dysrhythmias and hemodynamic instability.
Dr. Smith's ECG Blog
FEBRUARY 8, 2015
They had already cardioverted at 120 J, then 200 J, which resulted in the following: Ventricular Tachycardia They then cardioverted at 200 J which r esulted in the same narrow complex rhythm shown above, at 185 beats per minute. This would treat both SVT or sinus tachycardia. Henry Ford Hospital. There was a good outcome.
Dr. Smith's ECG Blog
DECEMBER 26, 2020
His friend was able to get him into the truck and drive him to a nearby community hospital (non-PCI center). Tachycardia and ST Elevation. Tachycardia to this degree can cause ST segment changes in several ways. When he arrived, his mental status had deteriorated further, to the point that he was quickly intubated on arrival.
Dr. Smith's ECG Blog
OCTOBER 25, 2022
We see a regular tachycardia with a narrow QRS complex and no evidence of OMI or subendocardial ischemia. The differential of a regular narrow QRS tachycardia is sinus tachycardia, SVT, and atrial flutter with regular conduction. Now the patient is in sinus tachycardia. Her initial EKG is below. Same as initial ECG.
Dr. Smith's ECG Blog
NOVEMBER 30, 2019
Is it ventricular tachycardia (VT) due to hyperK or is it a supraventricular rhythm with hyperK? Hospital admission had been recommended, but she left that ED against medical advice. A prehospital ECG was recorded: Limb leads: Precordial Leads What is the therapy? There is some ST depression and peaked T-waves. How would you treat?
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