Wide complex tachycardia, resistant to cardioversion. Some fascinating features here.
An elderly dialysis patient presented with chest pain. She has poor LV function. Previous echo 4 months ago (confirmed with ED bedside echo):…
Regular, steady, and fast at 170 (wide or narrow?), hypoxic, crackles in lungs, B-lines, unconscious
A 60-something who lives in a nursing home was found unconscious and hypoxic. EMS was called and their monitor showed an “SVT” at…
Hypotensive and Tachycardic in Clinic: A Quick Ticket to the ED and Lewis Leads
This was contributed by one of our fine interns, Aaron Robinson. A 40-something male cancer patient presented to clinic for a routine follow…
A fast narrow complex rhythm.
A 50-something called 911 for palpitations. He was tachycardic and diaphoretic. POCUS cardiac ultrasound was hyperdynamic. Medics…
Atrial fibrillation with RVR: use POCUS to assess volume; then sinus vs. SVT: use of Lewis leads
An elderly man with a history of diabetes and HTN presented with lethargy and weakness, decreased urine output, and hypotension. There…
Wide Complex Tachycardia: Lewis Leads Do Not Differentiate VT from SVT with Aberrancy
An 83 yo complained of palpitations and dizziness and presyncope. He had a history of systolic heart failure with an EF of 40-45% and…
A Very Wide Complex Tachycardia. What is the Rhythm? Use Lewis Leads!!
A patient with a history of severely reduced left ventricular function, renal insufficiency and atrial fibrillation presented with slight…
Wide Complex Tachycardia. What is the Diagnosis?
A man in his 40’s with a h/o coronary disease complained of sudden dizziness and chest pain. Medics found him with a high pulse,…