Pearls from Dr. Angelo Biviano

Older man with ICM and heart failure presenting with multiple AICD shocks and found to have VT storm


  • Anti-tachycardia pacing = pacing the ventricle fast so that the ventricular tachycardia is suppressed by pre-empting of the depolarization of myocytes around a myocardial scar

    Posted 08/25/16 10:32:15 AM by Anna Krigel

  • Vaughn Williams classification of antiarrhythmic drugs

    Posted 08/25/16 10:38:17 AM by Anna Krigel

  • Treatment of sustained ventricular tachycardia with a pulse

    Posted 08/25/16 10:47:27 AM by Anna Krigel

  • Long QT predisposes to torsades de pointes -> treatment can be to place temporary pacemaker and pace the patient faster to lower the QT interval
    Lidocaine shortens QT interval

    Posted 08/25/16 10:48:38 AM by Anna Krigel

  • For further reading...

    Ventricular Tachycardia Ablation versus Escalation of Antiarrhythmic Drugs

    Posted 08/25/16 10:54:15 AM by Anna Krigel

  • An older man presenting w/ dizziness, found to have AV dissociation w/ accelerated junctional rhythm


  • Syncope in Elderly

    Posted 11/07/16 09:14:15 AM by Matthew Cummings

  • Characteristics of Complete Heart Block

    Posted 11/07/16 09:21:07 AM by Matthew Cummings

  • Accelerated junctional rhythm 

    Posted 11/07/16 09:28:09 AM by Matthew Cummings

  • When to consider PPM?

    Posted 11/07/16 09:43:53 AM by Matthew Cummings

  • For further reading...

    AHA/ACC/HRS PPM Guidelines
    LITFL EKG Review -- Accelerated junctional rhythm

    Posted 11/07/16 09:46:33 AM by Matthew Cummings

  • 21yo M with cardiac arrest found to have WPW syndrome


    40yo m s/p cardiac arrest x 3, hemochromatosis and severe CAD


    50YOM with HD unstable tachyarrythmia


    35 yo M with chest pain and palpitations x5 months, found to have Brugada syndrome


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