William J. Brady, MD




Paroxysmal Supraventricular Tachycardia: Diagnosis and Management

March 31, 2014

Management options for PSVT in a stable patient include vagal maneuvers, medications, and electrical synchronized cardioversion.

Middle-Aged Man With Light-Headedness, Nausea, and Palpitations

November 01, 2007

A 44-year-old man presents to the emergency department (ED) with light-headedness, nausea, and vomiting of 1 day's duration. He has also had intermittent palpitations but denies chest pain, dyspnea, and weakness.

Normal Sinus Rhythm With Junctional Escape Beats: ECG Findings

September 01, 2007

A 68-year-old woman with hypertension complains of intermittent dyspnea and light-headedness. She is asymptomatic during the evaluation. Vital signs are normal, but an irregularly irregular pulse is noted on examination as well as on the telemetry monitor. The 12-lead ECG is shown here; the ECG machine printout reads "atrial fibrillation." The patient has no history of this arrhythmia.

Weakness in a Young Woman

April 15, 2007

A 24-year-old woman presents to the emergency department (ED) withgeneralized weakness, headache, and muscle cramping that have progressivelyworsened over the past week. Recently, she has also had nauseaand vomiting. She denies chest pain, palpitations, dyspnea, cough, fever,chills, diarrhea, and urinary symptoms. She has a history of type 1 renaltubular acidosis.

Discordant ECG Findings in a Man With Chest Pain

February 01, 2007

An 80-year-old man presents to the emergency department (ED) with intermittent dyspnea and chest pain. He has hypertension and osteoarthritis but no known cardiac disease. Vital signs are normal. No jugular venous distention is noted. The lungs are clear with equal breath sounds, and the heart rate is regular, without murmurs, gallops, or rubs. The chest wall is not tender. No edema or asymmetry is evident in the extremities.

A Tale of Two "Pulseless Electrical Activity" Cardiac Arrest Rhythms

January 01, 2007

In cases of PEA, a rapid, narrow-QRS-complex rhythm is associated with an improved chance of survival.

Woman With Persistent ECG Abnormalities After Chest Pain Resolves

January 01, 2007

A56-year-old woman with chest pain and emesis is brought to the hospitalby ambulance. En route, the pain resolves after nitrates, morphine,and aspirin are administered.