Electrophysiology

Electrophysiology ECG learning & cases
Desire to learn everyday 😌 ✨️

[Electrophysiology @BonaJenn]

@BrooksWalsh

[Electrophysiology @BonaJenn]

I'm curious to see what others think of PVC morphology here on a 26 year old eating disorder patient holter!

@The_Nanashi_O @DidlakeDW @SchakrabartiEP @syamkumarmd

[Electrophysiology @BonaJenn]

@Ablationist @SchakrabartiEP @The_Nanashi_O We viewed cool down slowly after giving a beta blocker and anxiety medication over a period of 30 minutes it came down from 155 to 95

[Electrophysiology @BonaJenn]

24 year old female, presented with superficial faciculations in chest, palpations, reoccurring tachycardia, costochondritis, panic attacks w/ Heart rate staying between 145 - 180.

Thoughts?

#EPeeps @SchakrabartiEP @The_Nanashi_O

[Electrophysiology @BonaJenn]

@DidlakeDW @SchakrabartiEP @The_Nanashi_O @adribaran I'm curious if it is respiratory if it's due to unmanaged asthma! They mentioned not taking inhalers for severe asthma due to tachycardia cause by steroids.

[Electrophysiology @BonaJenn]

@DidlakeDW @SchakrabartiEP @The_Nanashi_O @adribaran Atrial Tachycardia Possibly?

[Electrophysiology @BonaJenn]

@Toaster_Pastry

[Electrophysiology @BonaJenn]

Is calculating a QTc on a heart rate of 140+ accurate or effective? Can you accurately tell if someone is prolonged on a resting ECG of 140+?

Thoughts?
@MJAckermanMDPhD

[Electrophysiology @BonaJenn]

@The_Nanashi_O @SchakrabartiEP There's a ton of t on p so I understand 😅 I was thinking the same at first. I got a colleague to calculate as well we got 389

[Electrophysiology @BonaJenn]

@The_Nanashi_O @SchakrabartiEP It is very hard to calculate QT at such fast heart rates, when calculated by hand QT is about 420. Comparing to other ECGs & holters qt was normal.

[Electrophysiology @BonaJenn]

@Hapa_EP @CardioNerd1

[Electrophysiology @BonaJenn]

@DidlakeDW

[Electrophysiology @BonaJenn]

@BrooksWalsh

[Electrophysiology @BonaJenn]

@SchakrabartiEP @ShaojieChen1 @syamkumarmd Not defibrillated, weak but stable pulse when found unconscious.

[Electrophysiology @BonaJenn]

27yo M, collapsed at work. Presented to ER via Ambulance with chest pain, tachycardia, increased blood pressure of 136/97, heavy arms after 2 weeks viral lung infection.

Thoughts?
#EPeeps #MedicalStudents @ShaojieChen1 @syamkumarmd @SchakrabartiEP

[Electrophysiology @BonaJenn]

@The_Nanashi_O @DrSanatani @DRTomlinsonEP @EPeeps_Bot

[Electrophysiology @BonaJenn]

@EPLive2 @EPeeps_Bot

[Electrophysiology @BonaJenn]

41 yo Female, admitted into ICU w/elevated troponin, D Dimer and chest pain! Normal ECGs, CT scan and chest x ray! 1 episode of SVT that resolved w/o intervention. Developed reduced kidney function in ICU, no infection.

DXs? NSTEMI?
#EPeeps #Cardiology #medicalstudent

[Electrophysiology @BonaJenn]

@cardiology_in @DrSanatani @DRTomlinsonEP @DrFerminGarcia @SchakrabartiEP @ShaojieChen1 @EM_RESUS @syamkumarmd

[Electrophysiology @BonaJenn]

Guess the diagnosis :-)

Hyperacute T waves, 64 yo male with COPD, patient has shortness of breath, tachycardia, elevated blood pressure

Correct answer at 8 pm est

#EPeeps #cardiology