Wide Complex Tachycardia — VT, SVT, or A Fib with RVR? If SVT, is it AVNRT or AVRT?
A 69 y.o. male with pertinent past medical history including Atrial fibrillation, atrial flutter, cardiomyopathy, Pulmonary…
Back to basics: what is this rhythm? What are your options for treating this patient?
Written by Bobby Nicholson MD, with edits by Meyers, Smith, Grauer A woman in her early 40s presented to the emergency department for…
A woman in her 60s with palpitations, chest discomfort, and multiple misdiagnoses by both EM and Cardiology!!
Written by Pendell Meyers A woman in her 60s was shopping when she suddenly experienced palpitations and chest “discomfort.”…
20-something with anxiety. Pulse is 169. Then 229. Then 169. Then 229. Latent conduction vs. Concealed Conduction. 3 Pathways.
A young woman in her third trimester of pregnancy had complained of panic attacks on multiple occasions. She presented to the ED…
A very fast wide complex tachycardia
A 60-something patient presented by EMS with non-specific symptoms. He had a very rapid rhythm that was not converted by 6 mg, then 12…
New Onset Heart Failure and Frequent Prolonged SVT. What is it? Management?
This middle-aged man with no cardiac history but with significant history of methamphetamin and alcohol use presented with chest pain and SOB,…
What could this rhythm be? And what is going on after it breaks?
Written by Pendell Meyers, edits by Steve Smith A man in his 30s with no prior medical history presented with palpitations. His vitals and…
Arrhythmia? Ischemia? Both? Electricity, drugs, lytics, cath lab? You decide.
Written by Pendell Meyers with edits by Steve Smith A male in his 60s presented with off and on shortness of breath and chest pressure over…
Sudden Chest pain and SOB with a Wide Complex Tachycardia
This case was contributed by a medic who wishes to remain anonymous (his comments are in red). This was a 60 something male who called for…
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…