ECG Pointers: Polymorphic Ventricular Tachycardia
Dr. Tannenbaum brings you a case of polymorphic ventricular tachycardia.
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EM@3AM: Tachycardia
A 70-year-old male with presents with 5 days of fever and 3 days of anuria and malaise. He also notes worsening abdominal distention and shortness of breath. He found and removed a tick 3 weeks ago and another one 1 week ago. Labs reveal WBC 2,200 cells/microL, HGB 11.2 g/dL, Plt 21 × 109/L, BUN 86 mg/dL, Creatinine 6.8 mg/dL, AST 350 U/L, ALT 119 U/L.
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ECG Pointers: Sgarbossing it up!
How do you utilize the Sgarbossa criteria for a left bundle branch block?
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ECG Pointers: Pain Free but Not Worry Free
What should you be worried about with the patient who is now chest pain free but has biphasic T waves in V2 and V3?
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ECG Pointers: Well, it seems as though your colon is trying to kill your coronaries
Dr. Tannenbaum covers a case of GI bleed and ST segment changes.
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ECG Pointers: WPW doesn’t usually cause a problem, right?
Dr. Tannenbaum brings you WPW in this week’s ECG Pointers.
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ECG Pointers: Poisoned Sodium Channels
Why is it important to repeat the ECG?
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ECG Pointers: Ashman’s Phenomenon
What is Ashman’s Phenomenon?
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ECG Pointers: Recurrent and Refractory Torsades de Pointes
ECG Pointers returns with Torsades.
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EM@3AM: Brugada Syndrome
A 36-year-old female presents to the ED after experiencing an episode of sudden syncope. The patient has no significant past medical history, and reports that she was walking to the end of her driveway to retrieve her mail when she suddenly collapsed to the ground. She recalls waking up on her driveway with concerned neighbors gathered around her. The patient states that this has never happened before. On arrival, she is stable and well-appearing. Exam is normal. ECG demonstrates coved ST segment elevation >2mm in V1-V3 followed by a negative T wave. What is the diagnosis?
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