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…
An asymptomatic man in his 50s with heart rate in the 160s – what is the diagnosis? How will you manage this?
Written by Pendell Meyers A man in his late 50s with history of CAD with CABG, COPD, smoking, cirrhosis, and other comorbidities…
Intermittent Chest pain with Nausea and Vomiting, resolved at this moment
This is from Amandeep (“Deep”) Singh. Dept Emergency Medicine, Highland Hospital, Oakland. Case 51 yo male who…
Agitation, Confusion, and Unusual Wide Complex Tachycardia. What is it, why did it occur, and how to treat?
A 50-something male ran a 10 mile race, after which he complained of a headache. The next day, he collapsed and had a witnessed seizure.…
Is it VT or SVT with Aberrancy?
Here is a classic ECG, presented and analyzed by Ken Grauer: Figure-1: The initial ECG in this case, obtained by the EMS team (See…
60-something with wide complex tachycardia: from where does the rhythm originate?
An elderly woman with history of coronary disease presented with CP and SOB and hypotension by EMS. EMS had attempted adenosine x 2…
Severe shock, obtunded, and a diagnostic prehospital ECG. Also: How did this happen?
A middle-aged woman was found down in her apartment unconscious. She was in shock with thready pulses. A prehospital ECG was recorded: Limb…
Ventricular Tachycardia? Or SVT with Aberrancy?
This was texted to me, by a recent residency graduate, with the following information: “70-something w hx of TAVR (aortic valve…
A middle-aged man with severe syncope, diffuse weakness
A middle-aged male diabetic who is otherwise healthy was found unconscious by his wife, with incontinence. He quickly awoke but was too…
Cardiogenic shock with wide complex tachycardia and poor LV function in a young woman
A 30-something woman presented with CP and SOB. She was hypoxic and intubated. She had very poor LV systolic function on bedside…