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Atrial Fibrillation with Rapid Ventricular Response
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Atrial Fibrillation with Rapid Ventricular Response
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1h later
AF + RVR
2° Repol Δ
ECG FOAM
Steve Smith
Does this ST Depression Maximal in V3 Represent Posterior OMI?
Dr Smith's ECG Blog
Initial
AF + RVR
LA/RA
2° Repol Δ
ECG FOAM
Steve Smith
Does this ST Depression Maximal in V3 Represent Posterior OMI?
Dr Smith's ECG Blog
Next day
AF + RVR
ST Elevation in aVR
STD Widespread
ECG FOAM
Jesse McLaren, Steve Smith, et.al.
90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?
Dr Smith's ECG Blog
Initial
AF + RVR
WCT
WPW
ECG FOAM
Pendell Meyers, Magnus Nossen, Steve Smith
A woman in her 60s with palpitations
Dr Smith's ECG Blog
AF + RVR
Δ Rhythm
PAC
Rhythm Strip Only
ECG FOAM
A PAC Initiates Paroxsymal Atrial Fibrillation-KH
ECG Learning Center
AF + RVR
WPW
ECG FOAM
Atrial Fibrillation in Patient with WPW Syndrome
ECG Learning Center
Initial
AF + RVR
2° Repol Δ
ECG FOAM
Steve Smith
Is this ST depression due to OMI or due to subendocardial ischemia? This is critical to distinguish, and this is a trick case!
Dr Smith's ECG Blog
Initial
AF + RVR
Baseline Artefact
Rate-related STD
12-lead
ECG FOAM
Steve Smith
Atrial Fibrillation w Rapid Ventricular Response and ST Depression Maximal V1-V4: Not always subendocardial.
Dr Smith's ECG Blog
AF + RVR
MS
STD
12-lead
ECG FOAM
Steve Smith
Paroxysmal Atrial Fibrillation with RVR, hypotension, volume depletion, good EF, AND pulmonary edema. Strange. Why? What to do?
Dr Smith's ECG Blog
Initial
AF + RVR
Normal QT
2° Repol Δ
12-lead
ECG FOAM
Steve Smith
What to do when Atrial Fib with RVR will not Electrically Cardiovert. And how do you measure the QT in Atrial Fib?
Dr Smith's ECG Blog
AF + RVR
SVT with Aberrancy
ECG FOAM
Steve Smith
Chest discomfort, Sinus Tachycardia, Q-waves, ST Elevation, and Intermittent Wide Complex Tachycardia. Activate the Cath Lab?
Dr Smith's ECG Blog
AF + RVR
Rhythm Strip Only
SVT with Aberrancy
ECG FOAM
Steve Smith
Chest discomfort, Sinus Tachycardia, Q-waves, ST Elevation, and Intermittent Wide Complex Tachycardia. Activate the Cath Lab?
Dr Smith's ECG Blog
AF + RVR
Rhythm Strip Only
SVT with Aberrancy
ECG FOAM
Steve Smith
Chest discomfort, Sinus Tachycardia, Q-waves, ST Elevation, and Intermittent Wide Complex Tachycardia. Activate the Cath Lab?
Dr Smith's ECG Blog
AF + RVR
Diffuse Subendocardial Ischaemia
STD
12-lead
ECG FOAM
Steve Smith
A 60-something has chest tightness, palpitations, and ST depression V1-V3
Dr Smith's ECG Blog
AF + RVR
12-lead
WCT
WPW
ECG FOAM
Ken Grauer, Steve Smith
A Clinical Scenario to Recognize- Irregular WCT
Dr Smith's ECG Blog
8h later
Resolved AF + RVR
Isolated Posterior MI
ECG FOAM
Pendell Meyers, Steve Smith, James Tavornwattana
A man in his early sixties with palpitations
Dr Smith's ECG Blog
Initial
AF + RVR
Isolated Posterior MI
ECG FOAM
Pendell Meyers, Steve Smith, James Tavornwattana
A man in his early sixties with palpitations
Dr Smith's ECG Blog
AF + RVR
Resolved LBBB
ECG FOAM
Ken Grauer, Steve Smith
What is this tachycardia that alternates from wide to narrow to wide?
Dr Smith's ECG Blog
AF + RVR
Int LBBB
SVT with Aberrancy
ECG FOAM
Ken Grauer, Steve Smith
What is this tachycardia that alternates from wide to narrow to wide?
Dr Smith's ECG Blog
Initial
AF + RVR
-Type II MI
STD Widespread
ECG FOAM
Pendell Meyers
A middle aged man with ST depression and a narrow window of opportunity
Dr Smith's ECG Blog
18:08 ongoing chest pain
AF + RVR
-De Winter T MI
-Isolated Posterior MI
STD
ECG FOAM
Pendell Meyers
A middle aged man with ST depression and a narrow window of opportunity
Dr Smith's ECG Blog
Initial
AF + RVR
Multi-Vessel Disease
ST Elevation in aVR
STD Widespread
ECG FOAM
Sam Ghali, Steve Smith
ST-Elevation in aVR with diffuse ST-Depression: An ECG pattern that you must know and understand!
Dr Smith's ECG Blog
Initial
Ashman Beat
AF + RVR
Type II MI
ECG FOAM
Steve Smith
Atrial fibrillation with RVR: use POCUS to assess volume; then sinus vs. SVT: use of Lewis leads
Dr Smith's ECG Blog
On arrival
AF + RVR
STD Widespread
ECG FOAM
Steve Smith
What is the culprit artery? Not what you think.
Dr Smith's ECG Blog
Initial
AF + RVR
STE
STD Widespread
ECG FOAM
Steve Smith
What is the culprit artery? Not what you think.
Dr Smith's ECG Blog
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