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65 yaş erkek
1 yıl önce koroner arter bypass greft öyküsü
Ef:55 izlendi
Vt? Svt? @yasermd96 @PrmFerdi @ecgandrhythmRoe @TheECGMedic @Ecgloverr
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1/
Precordial TWI + syncope. Pretty simple, right? Must be ARVC
"But there's no epsilon wave. It can't be ARVC...Must be Wellens!"
No time to wait for an ED echo. Straight to the cath lab
And voilà... nothing! No obstructive coronary lesion.
The real diagnostic journey begins
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When I see ST depression in the inferior leads, I always try to figure out whether it's a reciprocal change, and I focus on lead I, aVL, and the precordial leads. Honestly, the T waves in V2 through V4 were very suspicious, but I'm not sure I would have called them HATWs
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62 F with Syncope
I'd be grateful to hear experts and colleagues thoughts on this Rhythm
@SergioPinski @syamkumarmd @ALFIEEP1 @AThomazAndrade @DaveRichley @willyhfrick @True_ep @lucasmouraeef @javadm20 @Arron_Pearce_ @pongcardio @doctor_roig @ecgrhythms
#epeeps #epfellow #ecg
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Wild case in my archives:
62M - Acutely SOB. Looked profoundly unwell on arrival
A-Patent
B-RR29, SpO2 88%, b/l AE, trachea central
C- Pale, HR140s, BP 72/53, radials weak without deficits, shutdown.
D- T35.9, GCS14 (E3V5M6), BM3.9
E- Diaphoretic. No injuries / bleeding visible
Saçma sapan batık şirketleri sırf bataktan çıkarmak için halka arz edip borsaya getirdiklerinde benim için borsa yatırımı o gün bitmişti iyiki o gün son vermiştim borsaya..kılıfına uydurup güzel soymuşlar olan dişinden tırnağından artıran iyi niyetli vatandaşlara olmuş..
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Replying to @MedicLevelUp @greedylobster @EcgOxford @MaruanCarlos @smithECGBlog @amalmattu @richardbogle
QS waves in the inferior leads. Reverse pattern break (abrupt R in V2 compared to V1 and V3).
All suggest VT from a scar located in the basal inferoposterior septum.
HR probably not high enough to trigger a shock.
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84M palpitations. No adverse features. ICD in situ. Rhythm? Would appreciate the teaching please
@The_Nanashi_O @greedylobster @EcgOxford @MaruanCarlos @smithECGBlog @amalmattu @richardbogle
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60 y/o M with palpitations
HFrEF(15%),Severe Pericardial Effusion
What do you think about Rhythm?
❗️SVT or VT❓️
#epeeps #ecg #cardioX #cardioTwitter #Foamed #ekg #epfellow #epfellows #cardiology
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54 years old patient complaining of chest pain comes and goes since 1 month ago, what do you see?
Note: there’s no pain during taking the ECG.
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🔵 Revisiting the link between substrate and ventricular tachycardia rate:
The critical role of conduction-isthmus structure and function 🔵
Jean-Baptiste Guichard et al. incl. Ivo Roca-Luque
🫀
The primary outcome was fast VT defined as >180 beats/min.
heartrhythmjournal.com/artic…
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A patient with DCM, EF 25%, was implanted with a CRT-D. She presented with worsening dyspnoea 8 weeks after implantation. ECGs during BIV pacing and intrinsic rhythm.
Why is the patient not responding to CRT?
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66 y/o F with Palpitations
Hx of CHF,Chronic AF
Opinions about Rhythm?
#ecg #cardioX #CardioTwitter #cardioX




































