tag:blogger.com,1999:blog-549949223388475481.post6346488777268133504..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: Atrial fibrillation with rapid ventricular response with ECG injury patternUnknownnoreply@blogger.comBlogger6125tag:blogger.com,1999:blog-549949223388475481.post-69930695878697046542016-12-08T13:32:09.304-06:002016-12-08T13:32:09.304-06:00Definitely. Cardioversion first. Even if hyperte...Definitely. Cardioversion first. Even if hypertensive, the combination of hypetension and tachycardia could lead to high oxygen demand and ischemia. However, not nearly as likely as when hypotensive, which adds decreased supply to the equation. In either case, cardiovert first.<br />Glad you're using it to teach!<br />SteveSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-64553501881160163732016-12-06T13:46:56.849-06:002016-12-06T13:46:56.849-06:00Had she been hypertensive, what would yo have susp...Had she been hypertensive, what would yo have suspected? I used this case in a class quiz, but changed the patients BP to 156/94 with bi-basilar moderate crackles on auscultation. Much of the class opted for ntg 0.8mg even after identifying RCA involvement. I would still concur that front line tx is cardio-version with AmiodaroneAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-80609576450485530972011-10-03T11:25:52.303-05:002011-10-03T11:25:52.303-05:00Dr. Aleem,
Good point. I think you're right....Dr. Aleem,<br /><br />Good point. I think you're right. I hadn't noticed that!<br /><br />Of course that does not change the fact that there was atrial fib on the first ECG.<br /><br />Thanks!<br /><br />Steve SmithSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-48689826957124030982011-10-03T11:08:53.525-05:002011-10-03T11:08:53.525-05:00Hi, Dr Smith
In the 2nd ECG, isn't there irreg...Hi, Dr Smith<br />In the 2nd ECG, isn't there irregular P waves of different morphologies, can't it be a wandering atrial pacemaker??Ahmadhttps://www.blogger.com/profile/13823505739070974000noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-60792904080224996432011-08-11T13:39:03.618-05:002011-08-11T13:39:03.618-05:00I do concur, Troy. Thanks for pointing that out!I do concur, Troy. Thanks for pointing that out!Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-7127190000824730272011-08-11T13:29:51.819-05:002011-08-11T13:29:51.819-05:00Hello Dr. Smith,
On the converted 12 lead there l...Hello Dr. Smith,<br /><br />On the converted 12 lead there looks as if there are pathological Q's in III and possibly aVF. Do you concur?Troyhttps://www.blogger.com/profile/01227334538616584664noreply@blogger.com