8 results
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
#Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia ... #VT
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
Approach to ECGs - VT ... DDx = VT vs. ... sensitive for VT ... #VT #VTach #SVT ... #Comparison #VentricularTachycardia
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Cardiogenic shock, ECG ... taken for Primary PCI ... in shock with VT ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
Ventricular tachycardia (V-tach or VT) is a type of regular and fast heart rate that arises
tachycardia (V-tach or VT ... result in cardiac arrest ... #Clinical #MedStudent ... #Cardiology #EKG ... #VTach #VentricularTachycardia
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
or VT • Rapid ... & termination: SVT ... or VT • Terminates ... vagal maneuvers: SVT-AVNRT ... decreased brain flow (VT
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... myocarditis Clinical ... Pericarditis, Tamponade EKG ... block, Aberrancy, VT ... Low voltage Treatment
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
Sudden cardiac arrest ... to polymorphic VT ... **Get baseline EKG ... family history) Treatment ... refractory post-arrest
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Recurrent Polymorphic VT ... Hypocalcemia (rarely) Treatment ... load: 25-50 mg/kg ... Load: 1-1.5 mg/kg ... Polymorphic #VTach #VentricularTachycardia