Right-heart catheterization in the Emergency Department

✍ Scribed by PM DiChiara; CR Berryman

• Publisher: Elsevier Science
• Year: 1985
• Tongue: English
• Weight: 152 KB
• Volume: 14
• Category: Article
• ISSN: 1097-6760
• DOI: 10.1016/s0196-0644(85)80361-9

✦ Synopsis

ABSTRACTS

findings. In 7, an original diagnosis of sinus tachycardia (ST)was changed to atrial flutter (AFL) in 5, atrial tachycardia in 1, and AV nodal re-entry (AVNR) in 1. In 4, suspected AFL or atrial fibrillation (AF) was found to be ventricular tachycardia, AVNR, or multifocal atrial tachycardia. In 7 patients, the 12-lead ECG diagnosis of AFL, AVNR, or AF .was changed to ST after E-ECG. Among the patients with 12-lead ECG diagnosis of ST, AVNR, or AF, the diagnosis was changed to AFL in i0. E-ECG findings altered acute management in 22 of 34 (65%) patients (drug therapy vs cardioversion x;s assessment of cause of ST). We conclude that this new, simple technique facilitates acute diagnosis and management of perplexing tachyarrhythmias: