One of those ECGs you need to instantly recognize, which learners may struggle with at first
Written by Pendell Meyers An adult man presented with acute chest pain. He appeared critically ill. He had undergone stenting of the LAD…
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…
Sudden Palpitations in a Young Adult
Written by Magnus Nossen and Ken Grauer (with Comment by Smith) The ECG in Figure-1 was electronically transmitted by the ambulance…
VT in a Sick Patient? Paired with 2 old cases (see them at the bottom)
=================================== MY Comment, by KEN GRAUER, MD (8/30/2024): =================================== I was sent…
Syncope while on a treadmill
A 60-something ow healthy male had syncope while on treadmill. 911 was called and the patient was found by medics to…
Regular Wide Complex Tachycardia with poor LV function and hypotension. Duration unknown. How to manage?
An older patient with no previous medical history arrived at triage complaining of SOB. Her heart rate was very fast, so we obtained an…
Regular Wide Complex Tachycardia. What to do?
A patient in the ICU with significant underlying cardiac disease [HFrEF 30%, non-ischemic cardiomyopathy, LBBB s/p CRT-D (biventricular…
Palpitations while awaiting CABG
Written by Willy Frick A 57 year old man with was admitted to the hospital with chest pain. He underwent coronary angiography which showed…
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):…
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…