@drjohnm The response of the AV node in AFib to different agents was well studied by Coumel in the 70s. I'll share some old graphs.
@drjohnm Different R-R distribution of propranolol vs. dig
Apr 13, 2019 • 7 tweets • 2 min read
A tale of Brugada. Or the Law of Unintended Consequences 1/n
A 40 yo Afro-Caribbean laborer received a dual-chamber ICD in 2002 for a marked Brugada pattern. He was asymptomatic and had no family history of sudden death.
The Fidelis lead fractured and he received multiple spurious shocks in 2004. The left subclavian vein was closed. They placed a second Fidelis lead from the right side, tunneled to the left pocket. 2/n