50 yowf c/o palpitations for 30 min. Multiple previous episo | Figure 1

50 yowf c/o palpitations for 30 min. Multiple previous episodes. Tx c Adenosine 6mg no change. Tx c Adenosine 12mg with conversion to sinus tach and gradually to NSR c LAE and NSST changes. Fastest adult rhythm I've seen

Similar cases

Initially called for a 40 YOF SOB. Initial HR was in the 70s with O2 sat high 90s. Pt c/o chest pain and was cool, pale, and diaphoretic. Imag 2 shows the first 12-lead (sorry for the poor quality). Pt spontaneously converted, then went back into this rhythm a few times. Ended up converting after adenosine was given. Imag 3 shows conversion after adenosine.

25 y/o patient to ER for palpitations. HR 220's, 6mg Adenosine given with no change, EKG shows conversion after additional 12 mg Adenosine given. Pt alert and awake the whole time

ATF 66y/o F supine in bed C/O palpitations x30mins PTA. CAOx3 GCS14 baseline. No prior Cardiac Hx, no c/p, no SOB, no N/V/D, no chest pressure/squeezing/discomfort. Skin signs pink/warm/dry, initial BP88/42, HR158, RR18, SPO2 98% room air. Vegal did not convert, PT converted to S-Tach after 6mg Adenosine, then NSR. PT vitals remained WNL after Adenosine and 300mL NS bolus. C3 to closest Cardiac center. Pt also remained with out C/P or any other complaints. From what I understand Adenosine rarely works with the first and sometimes second dose. Is this true or does it just depend on the pt?

Presented to the ED with "flutter" feeling in chest, HR 212. 6mg adenosine IVP given after failed vagal maneuvers. EKG shows the adenosine effect.

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?