Remove Echocardiogram Remove Pediatrics Remove Tachycardia
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A child with biphasic T waves in V1-V2

Dr. Smith's ECG Blog

We believe they are likely a normal variant in this context, and the study above failed to identify any clinically significant finding after exam and echocardiogram in 110 children with bifid T waves. It is important to remember that pediatric tracings manifest a number of differences from adult ECGs.

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Young Man with a Heart Rate of 257. What is it and how to manage?

Dr. Smith's ECG Blog

Here is his 12-lead: There is a wide complex tachycardia with a rate of 257, with RBBB and LPFB (right axis deviation) morphology. Read about Fascicular VT here: Idiopathic Ventricular Tachycardias for the EM Physician Case Continued He was completely stable, so adenosine was administered. See Learning point 1 below. Learning points 1.

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A Child with Blunt Trauma

Dr. Smith's ECG Blog

Interpretation: There is sinus tachycardia, with right bundle branch block (RBBB). No further ECG, troponin, or echocardiogram was done because she was asymptomatic, and had a normal rhythm and rate. She was pulseless, with a narrow complex tachycardia on the monitor. She was intubated.

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Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

Otherwise vitals after intubation were only notable for tachycardia. An initial EKG was obtained: Computer read: sinus tachycardia, early acute anterior infarct. A formal echocardiogram was completed the next day and again showed a normal ejection fraction without any focal wall motion abnormalities to suggest CAD.