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David Didlake EMT-P, RN, ACNP @DidlakeDW An adult male self-presented to the ED with palpitations and the following ECG. Ultimately the patient went to Cath and was found to have multi-vessel obstructive coronary disease with an acute LCX culprit vessel, which was stented.
They had a history of non-ischemic cardiomyopathy (EF 30%), as well as PCI with one stent. Although the emergency physician (along with an APRN and an RN) had not seen any alterations in the rhythm after adenosine was pushed, a paper recording of the episode was subsequently unearthed. A surprise clue!
This was stented. Serum Magnesium and Potassium in Acute Myocardial Infarction Influence on Ventricular Arrhythmias Henryk Kafka, MD; Lorrie Langevin, RN; Paul W. After pacing, there was no recurrence of Torsades. The patient stabilized. This subsequent ECG was recorded after the K was up to 2.2 mEq/L: The STE is resolved.
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