Polymorphic Ventricular Tachycardia

Weekly Workout May 20, 2024
Unraveling WPW Syndrome: Challenging Cases and Nuances of Treatment

A 15-year-old male with a history of asthma presents with palpitations while playing football.  On arrival, he is found to have a narrow complex regular tachycardia most consistent with SVT….

Weekly Workout December 18, 2023
Literature Review: ST segment elevation after syncope and cardiac arrest

A 22-year-old man with no known significant PMHx presents after syncope. He is asymptomatic on arrival with normal vital signs. History and physical exam is non-diagnostic. While an ECG is…

Weekly Workout April 10, 2023
Wide Complex Tachycardias: distinguishing malignant arrhythmias from their mimics

A 65-year-old woman with PMHx of Parkinson’s disease presents to the emergency department after an episode of syncope. She continues to feel unwell on arrival and appears diaphoretic, blood pressure…

Weekly Workout March 20, 2023
Several ECG cases from UMEM that highlight the importance of pattern recognition and a good history to differentiate between benign vs. life threatening ECG findings!

A 76-year-old woman is brought to the emergency department by EMS with for lightheadedness and syncope. The following ECG is obtained on arrival:

Weekly Workout January 30, 2023
Rhythm interpretation: when to worry about cardiac rhythm strips

A 55-year-old woman with PMHx of CHF presents to an urgent care facility with shortness of breath, orthopnea, and weight gain after running out of her diuretics for the past…

Weekly Workout November 20, 2022
Potpourri of cases: generic polymorphic ventricular tachycardia vs. torsades de pointes, regularized atrial fibrillation, and much more!

A 60-year-old man presents to the emergency department with generalized weakness and intermittent palpitations. Vital signs are normal on arrival. The following ECG is obtained during an episode of palpitations:

Weekly Workout August 14, 2022
Wide Complex Tachycardias: what you gotta know about the two major types of polymorphic ventricular tachycardia

A 66-year-old female with a history of substance abuse on methadone is brought to the ED for syncope and altered mental status. She is altered and agitated on arrival and…

Weekly Workout December 20, 2021
ECG Basics and Fundamentals: a condition that is commonly misdiagnosed at polymorphic ventricular tachycardia (PMVT), torsades de pointes, and ventricular fibrillation

A 55-year-old woman presents to the ED with mild to moderate COVID pneumonia. She reportedly had a syncopal episode while on a bed pan. The following rhythm strip was obtained…

Weekly Workout May 3, 2020
ECG Basics & Fundamentals: how common is artifact?

A 72-year-old man presents to the ED with near-syncope. During his evaluation he has a 20-second run of the following rhythm captured on 12-lead ECG monitoring:

Weekly Workout November 25, 2019
STAT ECG Diagnoses: Brugada ECG pattern vs. Brugada syndrome

A 22-year-old male presents to the ED after a brief syncopal episode. He is now asymptomatic; history and physical exam are non-diagnostic. The patient becomes unresponsive while getting the following…

Weekly Workout June 25, 2018
A specific tachyarrhythmia with an excellent prognosis

A 79-year-old man presents to the ED with intermittent episodes of decreased level of consciousness. He is placed on continuous 12-lead cardiac monitoring during his evaluation and a monitor alarm…

Weekly Workout September 7, 2015
Wide Complex Tachycardias: what is the difference between polymorphic ventricular tachycardia and torsades des pointes

A 13-month-old female is transferred to you for intermittent torsades/dysrhythmias from a community ED. She has been slightly lethargic and has a cardiac history of VSD, ASD, and a PDA…

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