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Ventricular tachycardia is a potentially life threatening cardiac arrhythmia. On the ECG, ventricular tachycardia can be defined as three or more ventricular ectopic beats occurring in a sequence at a rate more than 100 per minute. Another rare form of ventricular tachycardia is bidirectional ventricular tachycardia.
Three or more ventricular beats in a row at a rate above 100 per minute is termed ventricular tachycardia. Ventricular tachycardia lasting more 30 seconds or requiring termination earlier due to hemodynamic compromise is called sustained ventricular tachycardia. Either case, the treatment is ablation of the right bundle.
In that study commonest ECG abnormalites were QTc prolongation followed by brady/tachycardia and then ST segment deviations [3]. ECG changes resembling ST elevation myocardialinfarction has also been described after traumatic intracranial hemorrhage [4]. In a study of 204 subjects, 31% had troponin elevation. N Engl J Med.
ECG in a person with persistent anginal pain for the past several hours showing significant ST segment depression anterolateral leads along with sinus tachycardia. Value of the electrocardiogram in localizing the occlusion site in the left anterior descending coronary artery in acute anterior myocardialinfarction.
Then, why is it mentioned that, implanting a defibrillator soon after an acute myocardialinfarction, in those with left ventricular dysfunction and prone for ventricular arrhythmias and sudden cardiac death, is not useful? Then, why is it mentioned that, an implantable defibrillator, is not useful, soon after myocardialinfarction?
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