Anyone have a subscription to HeartRhythm?? http://www.forbes.com/forbeslife/health/feeds/hscout/2007/07/06/hscout606042.html *Dying of a Broken Heart Can...
This is known as Tako-Tsubo after the Japanese pot used to catch octopi in Japan. I am currently writing an article for a nursing journal about it and have...
This is different than Tako-Tsubo, as the lady already had a cardiomyopathy—as she already had a defibrillator in her, so either she was a MADIT-II, or a...
I have a question for everyone, another paramedic that I work with ran a call, sorry but do not remember all of the details of this call. Adult female c/o...
Hi SD Your story is almost like reading a good book only to find the last two chapters missing! Seriously, what you describe could be be artifact, could be...
Could be electrical alternans, but I agree with Nick. Without the strips, it's difficult to say. If the patient has an underlying bundle branch block, PVCs can...
Very very difficult to judge anything from the limited information, however if I picture in my mind's eye what you are describing I have had similar situations...
Although I haven't seen what Patrick describes, I was doing some side searching while getting ready to postulate basically the same thing. Sounds like the rate...
Stumbled on this too.... http://www.physionet.org/physiotools/edr/cic85/ maybe it was just a RR of 70 and a HR of 140, lined up perfectly. Interesting...
Hi Bill, It could be many things... but just to the reentry thought: a reentry is also called a circus rhythm because it is a continuous depolarization. I...
The only thing I can think of without seeing the ecg is that the pt was having fregent pac's or pjc's. The best care for this pt would be o2 ,vitals, ecg with...
Kristofer White
bulldog@...
Jul 12, 2007 5:52 pm
9305
Nick, I'm very new to the theory of reentry, but I'm still thinking that a patient with a HR of 70 that then has a run where in between each complex is a spare...
Hi Bill, It depends on the type. Some cause wide complexes, some narrow. However they are continuous... what was described did not sound to me to be continuous...
Thanks Nick, If I hear hoofbeats I think Monty Python movie cast member with a couple of coconut halves. Chilling in the Pediatric ER on a rotation til we...
Does this affect Synchronized Cardioversion that is machine mediated (ie, hit "Sync" on the LP and make sure the 'carrots' come up on the R waves on the...
Good question, Bill. I would try switching to a leads or turning up the gain. If it was still lighting up T waves I would switch to an unsynchronized shock. ...
It's been a while since we've had a tough one. Since we had a discussion about the value of axis deviation a while back (hint, hint) I thought I'd share this...
I see a sinus rhythm, rate about 100 (just a tad less per my count). Right axis deviation. Normal looking P waves. No evidence for BBB. Tall right sided R...
The mother did mention that one of the several abnormalities was a VSD. Tom ************************************** Get a sneak peak of the all-new AOL at ...
Ugh... Having had so many cases of your girls having "seizures", the first thing I rule out is "BS". Sadly, the majority of the time it is ruled in. Anyhow,...
VSD, RVH, is 2/4 from Tetralogy of Fallot. The overriding aorta and pulmonary stenosis are the ones pending to confirm. Gustavo E. Flores Bauer, MSIII EMT-P :....
EKG is RVH with strain. Not usually from just a VSD repair, but can be. If it is Tet, like Gustavo mentioned, then you HAVE to be concerned with VT - which...
In a message dated 7/14/2007 1:07:36 PM Eastern Standard Time, erskine3@... writes: EKG is RVH with strain. Not usually from just a VSD repair, but can be....
Tom, That sound's about right. Surprising bit of info, hadn't heard or even considered it. What I'm wondering is if the machine algorithm actcually looks at...
When I had detailed questions about transcutaneous pacing, as far as R wave detection during demand pacing a and post ventricular refractory periods, I called...
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