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Mortality and Readmissions after Ventricular Tachycardia Ablation: An Analysis of Inpatient and Outpatient State Databases

HeartRhythm

Catheter ablation is an effective therapy for ventricular tachycardia (VT) and is increasing in use. Assessment of contemporary real-world outcomes of VT ablation requires data inclusive of both inpatient and outpatient encounters.

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Torsade in a patient with left bundle branch block: is there a long QT? (And: Left Bundle Pacing).

Dr. Smith's ECG Blog

Even with tachycardia and a paced QRS duration of ~0.16 In this specific case, Left Bundle Branch (LBB) area pacing was pursued to achieve cardiac resynchronization. (J J Am Coll Cardiol. second I immediately knew there is no way this relative increase in QT duration ( compared to the R-R interval ) is going to be "normal".

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Prospective arrhythmia surveillance after a COVID-19 diagnosis

Open Heart

Background Cardiac arrhythmias have been observed among patients hospitalised with acute COVID-19 infection, and palpitations remain a common symptom among the much larger outpatient population of COVID-19 survivors in the convalescent stage of the disease. Median monitoring duration was 13.2 (IQR ventricular ectopic burden.

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A man in his 40s with acute chest pain. What do you think?

Dr. Smith's ECG Blog

It's a very "fun" ECG, with initial ectopic atrial tachycardia (negative P waves in inferior leads conducting 1:1 with the QRSs), followed by spontaneous resolution to sinus rhythm. Hopefully his outpatient EP appointment will understand and correct that. What About the Tachycardia? Triage ECG: What do you think? was discovered.

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Regular Wide Complex Tachycarida with poor LV function and hypotension. Duration unknown. How to manage?

Dr. Smith's ECG Blog

There is a regular wide complex tachycardia. Remember : Adenosine is safe in Regular Wide Complex Tachycardia. Rather, from this one: Very Fast Very Wide Complex Tachycardia Ideally, one would cardiovert. An older patient with no previous medical history arrived at triage complaining of SOB. If it is VT, there will be no effect.

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A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

The ECG shows sinus tachycardia with RBBB and LAFB, without clear additional superimposed signs of ischemia. Hopefully a repeat echocardiogram will be performed outpatient. The Initial ECG in Today's Case: As per Dr. Meyers — the initial ECG in today's case shows sinus tachycardia with bifascicular block ( = RBBB/LAHB ).

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A woman in her 50s with multiple episodes of syncope

Dr. Smith's ECG Blog

EMS reports intermittent sinus tachycardia and bradycardia secondary to some type of heart block during transport. It is hard to make out P waves but you can see them best in V2, and notches in the T waves in other leads - this is a sinus tachycardia with a very long PR interval indicating first degree block.

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