CARDIAC BOOTCAMP
  • HOME
  • Course Login
    • Log In
    • Log Out
  • SYLLABUS
  • STORE
    • Online Self Study Course
    • Cardiac Video Course
  • ECG OF THE WEEK

ECG OF THE WEEK

BECOME A COURSE MEMBER
Each Week we put up one ECG case for you....because it's easier to learn from cases.
The ECG of the week is FREE to everyone. To become an expert at ECG's join the Cardiac Bootcamp Course. It's a great way to Learn!
​Or come to one of our LIVE Cardiac Bootcamps

That's a little fast isn't it?!!!

8/10/2021

0 Comments

 
A 90 yo patient with multiple co-morbidities and mild dementia presents with chest pain.
The patient is haemodynamically stable. 
An ECG is done and there is concern over the rate. 
Look at the ECG. What is the diagnosis?
Picture
Is it SVT? Is it Torsades? What do you do next?
.........Move away from the patient..... ie., do nothing. Let's see why.
Let's go back to the clinical picture.
The patient is haemodynamically stable and looks well.
Now back to the ECG: It is a narrow complex EXTREME tachycardia.
Notice lead III. It is not the same as the others. One lead cannot refuse to show the tachycardia whilst all the others are. In fact lead III here is the underlying rhythm. The rest of the ECG is artifact.
Remember that if the ventricle is beating at above 300 beats per minute in an adult patient, it will very soon convert to ventricular fibrillation.
Clinically at a rate of 350 or so, the patient will not be stable, as the ventricle doesn't have time to fill properly, so the blood pressure will be impaired. 

What is the artifact caused by?
Artifacts can be external, relating to line current. They can also be internal relating to tremor or shivering. They can also be caused by other devices such as deep brain stimulators ( which are usually there to control tremor).

​An ECG was redone and is shown below. The artifact is gone and the patients underlying rhythm is there.
Picture
Don't be fooled by the mimics.
To read more on this and see more examples like the one below go to the blog on 'A Patient with Wide Complex Tachycardia'
Picture
The Face to Face Cardiac Bootcamp is on the Gold Coast in 2022
0 Comments



Leave a Reply.

    Author

    Dr Peter Kas
    ​Emergency Physician

    Back to resus.com.au
    Picture
    Picture
    Sign up for
    ECG of the week
     Its free

    Archives

    May 2023
    March 2023
    February 2023
    January 2023
    December 2022
    November 2022
    October 2022
    September 2022
    August 2022
    July 2022
    June 2022
    March 2022
    December 2021
    November 2021
    October 2021
    September 2021
    August 2021
    July 2021
    June 2021
    May 2021
    April 2021
    March 2021
    February 2021
    January 2021
    December 2020
    November 2020
    September 2020
    August 2020
    July 2020

    Categories

    All
    Ablation
    Atrial Fibrillation
    Atrial Flutter
    Atrial Tachycardia
    Axis
    Bradycardia
    Cardiac Arrest
    Chest Pain
    ECG Mimics
    Ischaemia
    Lead Reversal
    Migraine
    Myopericarditis
    Pacing
    Paediatric Arrhythmias
    Paediatric ECG
    Paediatric Syncope
    Pericarditis
    QT Interval
    STEMI
    STEMI Mimics
    SVT
    T Waves
    Ventricular Tachycardia
    Wellens
    Wide Complex Tachycardia

Our Other Websites to Visit

www.emcore.com.au
www.resus.com.au

Contact Us
© COPYRIGHT 2015. ALL RIGHTS RESERVED.
  • HOME
  • Course Login
    • Log In
    • Log Out
  • SYLLABUS
  • STORE
    • Online Self Study Course
    • Cardiac Video Course
  • ECG OF THE WEEK