If you go for a run, and out your heart rate up to 180, are you not going to be in a sinus rhythm?...
Moloney, John
j.moloney@...
Aug 1, 2003 7:00 am
361
Nick et al, Good case regarding the symptomatic bradycardia, however use of isoprel (AKA "isopreterrible") may not have been a good choice as a first line...
mvojtko@...
Aug 1, 2003 11:28 am
362
Nick, An inappropriate tachycardia is either a problem of automaticity or a problem of reentry. An inappropriate bradycardia is either a problem of ...
Dr. Garcia writes: [snip] The problem is that there are controversies all over the literature and among practitioners. For example, you mention that adenosine...
Tom, Please don't misquote me! I said it was inappropriate for AVRT which is AV reentry tachycardia. That is a completely different rhythm from AVNRT which...
Hi Tom, I did not get this e-mail before I replied to part of your question. Orthodromic AVRT refers to a reentry tachyarrhythmia that is caused in patients...
You are indeed. Tom ... From: Moloney, John [mailto:j.moloney@...] Sent: Friday, August 01, 2003 3:00 AM To: 'ekg_club@yahoogroups.com' Subject: RE:...
Dr. Garcia: How do you differentiate these two types of SVT on the 12 lead EKG? Is there still a place for Adenocard in the prehospital arena in your opinion,...
Here's an interesting read: http://www.emedicine.com/med/topic1762.htm <http://www.emedicine.com/med/topic1762.htm> Although they do not discuss the danger of...
Hi Tom, Please call me Tom (Dr. Garcia sounds so formal!) Anyway, the article you referred me to is an excellent one. It is written by Lenny Ganz (who I have...
I am glad to see this discussion going on. As Dr. Marriott put so well, the first thing to do with any rhythm is to think of why they are doing this. Here is...
Hi guys, Here is a PDF file of a couple of figures and some strips to go along with my last e-mail. Hope you enjoy. To open it you need to have adobe acrobat...
Tom, You are absolutely correct, which is why the recommendation of the AHA in stable tachycardias is to withhold adenosine in any wide QRS tachycardia, as ...
No takers on the July 12 lead, so I'll go ahead with a step by step interpretation for the benefit of anyone on the list who is relatively new to 12 lead...
Here is another article: http://www.emedicine.com/MED/topic2955.htm ... From: Bouthillet Tom To: 'ekg_club@yahoogroups.com' Sent: Friday, August 01, 2003 7:38...
Tom G. I was unable to discern the P waves in your example of antidromic AVRT. However, I did notice that every 6th complex had a slightly taller R wave, and...
Tom: After reviewing the pdf file again, I am struck by the fact that both orthodromic and antridromic AVRT have prolonged RP interval. I have somehow missed...
hey Tom, I am a very patient man...anyway, I am sending you another PDF file with the blow up of the orthodromic AVRT. You are right both orthodromic and...
Sorry, the file was sent without the promised PDF file. Tom Garcia P.S. I hope that I am not boring the rest of you with the long explanations. If I am, I...
Tom G Please please please do not apologize! I am very intrigued by this discussion and now am going to have a look at my old EKGs and strips and see what I...
Ok, I have attached three pics that appear to demonstrate RP intervals... but that is where I am unsure. Is it RPs that I am seeing? Now for some further...
Attached is an EKG obtained recently by another tech. Its not so much the story but the findings I am interested in your feedback on. The ED doc did not feel...
Tom Somehow we got our signals crossed. I was referring to the first example of antidromic AVRT. I couldn't make out any P waves on that particular strip. ...
Tom Just curious as to how you tell the difference between orthodromic and antidromic AVRT. Does it require a visit to the EPS lab? Tom ... From: Tom Garcia...
Well...NSR with nl. axis, no cardiomegaly by voltage, certainly looks like an inferior/possibly posterior ischemia pattern. There's ST elevation in II and...
Dave, Are your point of care biomarkers qualitative or quantitative? Are they incorporated into your critical pathways, or just an option available to you? Do...
Dave I agree with your findings and mentioned them to the ED doc at the time when I saw the EKG. There were no 'other' findings, the doc I asked initially was...
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