tag:blogger.com,1999:blog-3364570834099131201.post896881289936998722..comments2024-03-18T02:26:22.794-04:00Comments on ECG Interpretation: ECG Interpretation Review - #24 (Wide Tachycardia - WCT - VT vs SVT vs Flutter)ECG Interpretationhttp://www.blogger.com/profile/02309020028961384995noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-3364570834099131201.post-78710336187005854852023-05-20T22:53:09.969-04:002023-05-20T22:53:09.969-04:00Hi. THANKS for your question. Please realize that ...Hi. THANKS for your question. Please realize that I wrote this post in 2011 — and that your excellent question is only coming to me 12 years later. Since 2011 when I wrote this — our appreciation of how IV Diltiazem (and/or IV Verapamil) are actually drugs of choice and very effective for treatment of Fascicular VT (See ECG Blog #38, written the following year in 2012 — https://tinyurl.com/KG-Blog-212 ) — as well as many other blog posts on Fascicular VT that I have since presented (you can search for Fascicular VT to find these). The mechanism for Verapamil/Diltiazem's efficacy with Fascicular VT is reviewed in Blog #212. Thanks again for your question (You'll note that I CHANGED what I wrote in this 2011 blog — to say that you shouldn't use Diltiazem for an ischemic form of VT — for which Dilitiazem might precipitate VFib.ECG Interpretationhttps://www.blogger.com/profile/02309020028961384995noreply@blogger.comtag:blogger.com,1999:blog-3364570834099131201.post-68733357990847180572023-05-16T15:27:21.565-04:002023-05-16T15:27:21.565-04:00Why is Diltiazem contrindicated in VT???
Why is Diltiazem contrindicated in VT???<br />The DUFFhttps://www.blogger.com/profile/04875919599089674980noreply@blogger.comtag:blogger.com,1999:blog-3364570834099131201.post-50444164042478867452017-10-06T14:58:58.518-04:002017-10-06T14:58:58.518-04:00I guess that comes with experience, little tough f...I guess that comes with experience, little tough for me at this stage.. Thank you doctor... MGhttps://www.blogger.com/profile/06233522417024317416noreply@blogger.comtag:blogger.com,1999:blog-3364570834099131201.post-44010159528963857032017-10-06T14:14:53.243-04:002017-10-06T14:14:53.243-04:00QRS width and morphology is in a "gray zone&q...QRS width and morphology is in a "gray zone". Precise answer really requires review after conversion to sinus rhythm. That said, the QRS "looks supraventricular". While one can debate if QRS width is 0.11 vs 0.12 ... the width of the monophasic R wave in lateral leads is not overly wide; the initial r in V1,2,3 is larger than is usual in lbbb; and the QRS just "looks" supraventricular. Remember that BOTH LAHB and LVH may slightly widen the QRS — and that is my strong hunch of what we have here — :)ECG Interpretationhttps://www.blogger.com/profile/02309020028961384995noreply@blogger.comtag:blogger.com,1999:blog-3364570834099131201.post-48980401272132941372017-10-06T13:15:26.227-04:002017-10-06T13:15:26.227-04:00Is this not LBBB than calling it LAFB??? QRS seem ...Is this not LBBB than calling it LAFB??? QRS seem to be 3mm wide and the morphology fits... MGhttps://www.blogger.com/profile/06233522417024317416noreply@blogger.comtag:blogger.com,1999:blog-3364570834099131201.post-10593350335806419812012-09-25T04:22:32.399-04:002012-09-25T04:22:32.399-04:00i like ur work sir....
Educationi like ur work sir....<br /><br /><br /><a href="http://www.entireeducation.com/" rel="nofollow">Education</a><br /><br />Anonymoushttps://www.blogger.com/profile/12930550842346734646noreply@blogger.com