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A young man with tachycardia. Should We Try Adenosine?

Dr. Smith's ECG Blog

There is a regular narrow complex tachycardia. Thus, it is supraventricular tachycardia. It is important to remember that SVT includes Sinus Tachycardia! Sometimes even Wide Complex Tachycardia is Sinus. See this case in which Lewis leads were necessary to figure this out: Wide Complex Tachycardia.

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A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?

Dr. Smith's ECG Blog

I find AV dissociation in VT to be very difficult to differentiate from artifact, as there are always random blips on tachycardia tracings. Read this post: Idiopathic Ventricular Tachycardias for the EM Physician 2. The 15th beat (2nd beat of V1-V3) appears to be a fusion beat , which is all but diagnostic of VT.

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Pediatric Exercise Testing

All About Cardiovascular System and Disorders

Discussion on pediatric exercise testing. Pediatric exercise testing may be used for evaluation of various disorders of cardiac rhythm rather than for inducible ischemia as in adults. In a child with suspected sinus node dysfunction, chronotropic incompetence from sinus node dysfunction can be assessed by exercise testing.

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CV Sports Chat: Approach to Nonsustained Ventricular Tachycardia in Athletes

American College of Cardiology

"CV Sports Chat" is an interview series including expert discussions relative to sports and exercise cardiology and the health care management of athletes.

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A young lady with wide complex tachycardia. My first time actually making this diagnosis de novo in real life in the ED!

Dr. Smith's ECG Blog

She was awake, alert, well perfused, with normal mental status and overall unremarkable physical exam except for a regular tachycardia, possible rales at both bases, some mild RUQ abdominal tenderness. Thus, I believe it is a regular, monomorphic, wide complex tachycardia. Or it could simply still be classic VT. RVEF 100 ml/m2.

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PO-03-100 EARLY ONSET ATRIAL FIBRILLATION AND CATECHOLAMINERGIC POLYMORPHIC VENTRICULAR TACHYCARDIA WITH TRIADIN MUTATION IN A TACTICAL ATHLETE

HeartRhythm

Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a rare disorder presenting as exercise-induced ventricular arrhythmias, rarely associated with mutations in triadin (TRDN).

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Syncope while on a treadmill

Dr. Smith's ECG Blog

This strip was obtained: Apparent Wide Complex Tachycardia at a rate of 280 What do you think? Because the patient was exercising, which increases sympathetic tone, facilitating AV conduction. Troponins 34>33>43, likely secondary to myocardial injury from tachycardia. What do you want to do? Why such rapid AV conduction?