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Dyspnoea, dizziness and dysrhythmia in a middle-aged patient

Heart BMJ

ECG at presentation was suggestive of ventricular tachycardia (VT) ( figure 1 A ). Resuscitation with urgent cardioversion in view of haemodynamic instability with wide complex tachycardia was done. Laboratory evaluation revealed electrolytes, haematological profile, renal and liver panel to be within normal limits.

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Abstract 4145609: The Cardiac Conundrum of Cannabis: A Case of Junctional Bradycardia Triggered by Cannabis Use

Circulation

Initial laboratory analysis was unremarkable. Echocardiogram was unchanged from baseline. He was admitted for further workup of bradycardia. His home medications included metoprolol succinate 25mg daily which was held given bradycardia. Urine drug screen was positive for cannabis.

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Case Report: Comprehensive evaluation of ECG phenotypes and genotypes in a family with Brugada syndrome carrying SCN5A-R376H

Frontiers in Cardiovascular Medicine

Patients with BrS can be asymptomatic or present with symptoms secondary to polymorphic ventricular tachycardia or ventricular fibrillation. The routine laboratory results, imaging study, coronary angiogram, and echocardiogram (ECG) were normal. The patient did not have underlying diseases.

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Chest Pain and Inferior ST Elevation.

Dr. Smith's ECG Blog

There is sinus tachycardia. Sinus tachycardia, which exaggerates ST segments and implies that there is another pathology. I have always said that tachycardia should argue against acute MI unless there is cardiogenic shock or 2 simultaneous pathologies. Here is that ECG: What do you think? No wall motion abnormality. Apple, Ph.D.

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Critical Left Main

EMS 12-Lead

Category 2 : An increase in myocardial oxygen demand due to tachycardia, elevated ventricular afterload (BP or aortic stenosis), or increased wall stretch (admittedly this latter is more complicated) or a decrease in oxygen supply due to hypotension, anemia, hypoxia, or a combination of all of the above. This results in Type I MI.

Angina 52
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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

If the patient has Abnormal Vital Signs (fever, hypotension, tachycardia, or tachypnea, or hypoxemia), then these are the primary issue to address, as there is ongoing pathology which must be identified. Most physicians will automatically be worried about these symptoms. The tracings were considered abnormal in the following cases: 1.