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…
A Relatively Narrow Complex Tachycardia at a Rate of 180.
I received a text message with this image: “Cardioversion didn’t work. Any thoughts?” What do you think? The…
One Hour Lecture: Supraventricular Tachycardias (including ED management of atrial fibrillation)
This is a lecture on ED diagnosis and management of supraventricular tachycardias: Sinus Tach Paroxysmal SVT Atrial Fibrillation Atrial…
A Very Fast Regular Narrow Complex, Followed by an Equally Fast Regular Wide Complex
This case was sent to me by for analysis by Scott Flannagan in Australia. I am by no means a rhythm master like Dr. K. Wang, but I think…