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David Didlake
@DidlakeDW
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Acute Care Nurse Practitioner. Firefighter / Paramedic (Ret). https://t.co/JWU1vKssn0 https://t.co/4SrontSxeF
Dallas, TX (USA)
Joined December 2021
@MubarakAlhatemi @DrRazi4 @The_Nanashi_O @EM_RESUS @smithECGBlog @PendellM NSTEMI: Get me three Troponins!
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@Carlos_Penate6 @ecgandrhythmRoe @ecgrhythms @Ecgloverr @DrRazi4 Looks like VT, for example RR’ in V1 (taller R on L > R)
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@syamkumarmd Was an AP confirmed? Something i learned from @MaruanCarlos a while back is how a hot-mess cardiomyopathy can mimic delta waves. Not sure if that’s the case here, but a differential no less 🤔
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@OnlyEcg1 Hard to imagine this being anything other than RCA, but biology can play by its own rules. Definitely interested to hear outcome!
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RT @JL_MoralesArt: 28 YO Female comes to the ER with palpitations Tachy Solved by Adenosine 6mg Rythm? @LopezLizarraga_ @marioalrb84_a @ecg…
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@JL_MoralesArt @LopezLizarraga_ @marioalrb84_a @ecgrhythms @adribaran @Alexisvvmijares @EkgHacks @syamkumarmd @12_Derivaciones @UlhasDr @ecgandrhythmRoe @EPeeps_Bot @Arron_Pearce_ Didn’t you recently share a case that had similar (peculiar) TW alternans in a regular NCT?
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RT @MaxG693: 30/M with chest pain... MI or brugada pattern? @smithECGBlog @BrooksWalsh
@EM_RESUS @adribaran
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@DitchDocEM @PendellM @smithECGBlog @ecgandrhythmRoe @Ecgloverr @ecgrhythms @EMS12Lead @IrmaMDv @ekgpress The power of serial ECG’s to coincide with change in symptoms. Marvelous case!
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@EM_RESUS @MubarakAlhatemi @DrRazi4 @The_Nanashi_O @smithECGBlog @PendellM That would make sense. Because then the V2/3 TW's are no longer hyperacute but rather posterior reperfusion, which fits better with a subacute dRCA.
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@TheECGMedic Honestly, no, it doesn’t concern me. Hard to describe why. But serial ECG’s will confirm, or refute, this gestalt.
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@TheECGMedic Voltage distribution fits with the medical history, but could be acutely worsened due to effusion. One question is whether or not the AF is new (clinical destabilization due to loss of Atrial contribution). Any BB/CCB contributing to rate? Must consider overlap Sick Sinus.
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