Electrophysiology: Wide Complex Tachycardia in a 70-something
Written by Magnus Nossen A 70-year-old man experienced sudden onset of palpitations and nausea while at rest. He immediately called EMS. Upon…
Hypotension, chest pain, and precordial ST depression maximal in V3. Is this OMI?
One of my partners showed me this ECG of a 60-something male with a history of MI and stent who was hypotensive with chest pain, and…
What is this rhythm? And why rhythm problems are easier for the Emergency Physician than acute coronary occlusion (OMI).
Written by Pendell Meyers Don’t miss Ken Grauer’s excellent assessment at the bottom. With no context, what do you think this…
Tachycardia in cardiology clinic, what is the rhythm?
Submitted anonymously, written by Willy Frick A man in his 70s with a history of remote MI (details unavailable) and prior stent…
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):…
Palpitations and presyncope in a 40-something
Written by Magnus Nossen The below ECG is from a 40 something male with no past relevant medical hx. The patient contacted EMS due to sudden…
“Seizure” in a 60 year old male
This 60 yo male had an apparent tonic clonic seizure. He had no history of seizures. He was unconscious for 8 minutes and slowly…
Tachycardia and hyperkalemia. What will happen after therapy with 1 gram of Ca gluconate and some bicarbonate?
A 20-something type, 1 diabetic presented by EMS with altered mental status. Blood pressure was 117/80, pulse 161, Resp 45, SpO2 100 on…
A fascinating electrophysiology case. What is this wide complex tachycardia, and how best to manage it?
This was written by Magnus Nossen from Norway The patient is female in her 80s with a medical hx of previous MI with PCI and stent placement.…
A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?
Case submitted by anonymous. Written by Smith. Ken’s piece at the bottom is excellent. A 50-something presented with sudden onset…