Bradyarrhythmias

STAT ECG Diagnoses: chronic atrial fibrillation with bradycardia and hypotension

A 87-year-old man with history of HTN, CKD, CHF (EF 45%), and chronic atrial fibrillation presents with 1-week history of generalized weakness, loss of appetite and intermittent dizziness. He denies…

ECG Basics & Fundamentals: the ECG findings of hypothermia

An 80-year-old male with a history of HTN, atrial fibrillation and an unknown “kidney problem” presents to the ED after being found unresponsive at home by his son. He was…

Bradydysrhythmias: a differential for too many P waves and a lesson in how to break down difficult rhythms

An 81-year-old female presents to the ED with lightheadedness and “funny heart beats”. She has no associated dyspnea and is noted to have normal vital signs. The following ECG is…

Bradydysrrhytmias: altered mental status, hypotension, and not able to transcutaneously pace

A 50-year-old male is brought into the emergency department from prison with bradycardia, hypotension, and altered mental status. Medics started IV fluids and treated with atropine with no response prior…

STAT ECG Diagnoses: what to do when advanced life support (ACLS) does not work

A 40-year-old man is brought to the ED moribund with agonal respirations, hypotension (SBP~50) and bradycardia. The following ECG was obtained and ACLS started with no response to atropine or…

ECG Basics and Fundamentals: ECG findings in hypothermia

HPI: An elderly woman is found down by EMS early in the morning in Baltimore. Her family reports that was drinking some eggnog the night before at a holiday party….

Bradyarrhthmias: considerations in unstable patients with discussion on an important causes of refractory bradycardia

 A 42-year-old woman presents to the ED with decreased level of consciousness after a seizure. She has no obvious signs of trauma, and vitals signs are normal except for marked…

Spooky cold ECG findings in a patient with altered mental status on halloween night

What is the cause of these slurred and downsloping ST segments?

A 56-year-old man with PMHx of atrial fibrillation presents to the ED with generalized weakness and near-syncope. He is found to be hypotensive and bradycardic. The following ECG is obtained:

Bradyarrhythmias: bizarre slow rhythm that is not responding to ACLS

Bradyarrhythmias: regular vs. irregular P-P intervals