Narrow complex tachycardia; it recurs after adenosine. What should we do now?
A 50-something male presented with palpitations. He had a fever and hypotension (BP 80/40). His volume status was low by ultrasound (flat…
Narrow complex tachycardia, with interesting laddergram
A woman in her late 70s presented with nausea, vomiting, and diarrhea. Her emergency department ECG is shown below: ECG 1 What do you think?…
Rapid SVT, diagnosis?
A 53 year old man with paroxysmal atrial fibrillation and multiple myeloma called EMS with chest discomfort and palpitations. When paramedics…
A 30-something agitated male with a regular narrow complex tachycardia that will not terminate with adenosine
30-something male presented by EMS for evaluation of agitation and tachycardia. Per EMS, patient was running through the street, yelling, and…
Chest pain and a fast rhythm
My partner brought me this ECG during a shift, not sure how to interpret it. A 65 y.o. male with a past medical history significant for…
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…