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A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

Atrial fibrillation is also a predictor of worse outcomes in this case (Alborzi). 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.

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Agitation and Tachycardia

Dr. Smith's ECG Blog

No patient with a QRS of less than 160 ms had ventricular dysrhythmias. Blockade of cardiac fast sodium channels (leads to wide QRS, R-wave in aVR, R' wave in V1, Brugada pattern ECG, ventricular dysrhythmias.) Exaggeration of therapeutic effect of inhibiting central norepinephrine re-uptake (increase risk of seizures) Outcome.

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A Child with Blunt Trauma

Dr. Smith's ECG Blog

Blunt cardiac injury my result in : 1) Acute myocardial rupture with tamponade 2) Valve rupture (tricuspid, aortic, mitral) 3) Coronary thrombosis or dissection (and thus Acute MI) from direct coronary blunt injury 4) Dysrhythmias of all kinds. If it had been, could this outcome have been anticipated? And, then, so what?

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An adolescent with trauma, chest pain, and a wide complex rhythm

Dr. Smith's ECG Blog

Here the full text of the article: Accelerated Idioventricular Rhythm: History and Chronology of the Main Discoveries Hope that helps! : ) Ken Case Outcome: The patient had never had any cardiopulmonary complaints, was otherwise completely healthy. He was admitted overnight and had no complications. What is it? What is the rhythm?

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A 50 year old man with sudden altered mental status and inferior STE. Would you give lytics? Yes, but not because of the ECG!

Dr. Smith's ECG Blog

Long-term outcome is unknown. Likewise, in some cases of ischemia concealed by flutter waves, the ischemia can be seen despite the flutter waves, whereas in other cases the dysrhythmia must be terminated before the ischemia can be clearly distinguished. There was again no intracranial hemorrhage. Serial troponins were negative.

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A Relatively Narrow Complex Tachycardia at a Rate of 180.

Dr. Smith's ECG Blog

There was a good outcome. I also believe that we physicians and medics are eager to treat dysrhythmias, and we want to see them even when they are not there. This would treat both SVT or sinus tachycardia. However, the heart rate gradually fell to 120 with fluids and was proven to be sinus tachycardia. Tadjziechy, M.

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An athletic 30-something woman with acute substernal chest pressure

Dr. Smith's ECG Blog

Now you have ECG and troponin evidence of ischemia, AND ventricular dysrhythmia, which means this is NOT a stable ACS. Although by the time you are reading My Comment, you already know the outcome in this case — GO BACK and Take Another Look at the initial ECG @ Time = 0:00 ( TOP tracing in Figure-1 ).

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