Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
Netherlands Heart Journal
Published in: Netherlands Heart Journal 5/2017

Open Access 01-05-2017 | Rhythm Puzzle - Answer

Broad complex rhythm with a salty taste

Authors: M. Boulaksil, C. L. Meuwese, R. Evertz, M. G. M. Kolff-Kamphuis

Published in: Netherlands Heart Journal | Issue 5/2017

Login to get access

Excerpt

The ECG (Fig. 1 in the question) shows an extremely broad QRS complex rhythm (QRS duration of 220 ms) with a heart rate of 95 beats/min and a left axis deviation. The differential diagnosis of a broad QRS complex rhythm (without tachycardia) is extensive, including bundle branch block (either rate dependent or fixed), hyperkalaemia, pre-excitation, ventricular pacing, (accelerated) idioventricular rhythm, or hypothermia, but also intoxication with a sodium-channel blocking agent (e. g. tricyclic antidepressants or class I antiarrhythmic drugs (Vaughan-Williams classification)). …
Literature
1.
Köppel C, Oberdisse U, Heinemeyer G. Clinical course and outcome in class IC antiarrhythmic overdose. J Toxicol Clin Toxicol. 1990;28:433–44.CrossRefPubMed
2.
Bou-Abboud E, Nattel S. Relative role of alkalosis and sodium ions in reversal of class I antiarrhythmic drug-induced sodium channel blockade by sodium bicarbonate. Circulation. 1996;94:1954–61.CrossRefPubMed
3.
Yasui RK, Culclasure TF, Kaufman D, Freed CR. Flecainide overdose: is cardiopulmonary support the treatment? Ann Emerg Med. 1997;29:680–2.CrossRefPubMed
Metadata
Title
Broad complex rhythm with a salty taste
Authors
M. Boulaksil
C. L. Meuwese
R. Evertz
M. G. M. Kolff-Kamphuis
Publication date
01-05-2017
Publisher
Bohn Stafleu van Loghum
Published in
Netherlands Heart Journal / Issue 5/2017
Print ISSN: 1568-5888
Electronic ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-017-0951-x

Other articles of this Issue 5/2017

Netherlands Heart Journal 5/2017 Go to the issue

Heart Beat

Cardiac tamponade due to pyopneumopericardium from malignant bronchopericardial fistula

Letter to the Editor

Awareness of resuscitation guidelines in pregnant women

NVVC

NVVC/NHJ Durrer prizes 2016

Letter to the Editor

Improving resuscitation of pregnant women

Rhythm Puzzle - Question

Broad complex rhythm with a salty taste

Original Article

Appropriate use criteria for echocardiography in the Netherlands

ACC 2024 Congress Coverage

Heart Failure Video

Year in Review: Heart failure and cardiomyopathies

Watch now

Watch this official video from ACC.24 to hear Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits