Tremulous picture6/3/2023 ![]() Misdiagnosing artifacts as ventricular tachycardia may result in patients having to undergo a range of unnecessary diagnostic and therapeutic procedures, including electrophysiologic testing, antiarrhythmic drugs, cardiac catheterization and even placement of an implantable cardioverter defibrillator. 2 A simple bedside evaluation allows for the recognition of important clinical clues, such as a tremulous patient without hemodynamic compromise and detection of a normal pulse during palpitation or cardiac auscultation. One of the upper extremities is often free of tremor, which results in a normal ECG tracing in one of the frontal leads ( Figure 1, large arrow). 1 Characteristics allowing differentiation from a broad QRS complex tachycardia include the finding of normal QRS complexes between artifact waves ( Figure 1, small arrows) or an unstable baseline at the beginning of the ECG recording (not shown). Tremor can cause ECG artifacts that mimic a broad QRS complex tachycardia. The amplitude of the registered tremor is more pronounced in the tracings from the frontal leads than in those from the precordial leads. A normal sinus rhythm is seen in frontal lead III (large arrow). Normal QRS complexes can be seen interspersed between artifact waves (small arrows). Because lead III showed a normal sinus rhythm and the observed clinical picture did not suggest ventricular tachycardia, a diagnosis of tremor-induced artifact was proposed.Įlectrocardiogram showing a tremor (4 Hz) causing an electrocardiographic artifact. As a consequence, the patient’s left hand was not shaking during the ECG tracing, unlike the right hand. Find related and similar companies as well as. Because the patient was anxious, the on-call doctor held her left hand during the test. View Tremulous Motion Pictures (location, revenue, industry and description. At first glance, simultaneous bedside analysis of an electrocardiographic (ECG) tracing suggested the presence of a broad QRS complex tachycardia ( Figure 1). On cardiac auscultation, she had normal first and second heart sounds, a regular rhythm of 75 beats/min and no audible murmur. Her blood pressure was 145/85 mm Hg, her pulse was regular at 75 beats/min, and she was afebrile. On physical examination, she was anxious and tremulous. While in hospital, epigastric and retrosternal pain associated with nausea developed in the patient. Her medical history included a percutaneous coronary intervention and subsequent diagnosis of ischemic cardiomyopathy 15 years earlier. Send us feedback about these examples.A 92-year-old woman was admitted to hospital with pneumonia. These examples are programmatically compiled from various online sources to illustrate current usage of the word 'tremulous.' Any opinions expressed in the examples do not represent those of Merriam-Webster or its editors. 2022 With it, O’Farrell demonstrates fiction’s ability to offer counter narratives to those of received history, to open before us imaginative abundance and a tremulous sense of possibility. 2022 Consider the household of Jack Chambers (Styles) and his wife, Alice (Pugh), who is fair of face and tremulous of mind. 2022 Tim’s shuddering vulnerability entwines with the tremulous, petulant voice Yang has chosen for Theresa, and the two characters set up a terrible vibrating resonance inside the same body. 2022 Light, as a tremulous Stepford wife watching her world unravel with each glass of wine, does an enormous amount of acting with very few lines, and McTeer plays her imperious critic with casual, note-perfect hauteur. ![]() Natalia Abbakumova, Washington Post, 20 Nov. 2022 On the videos, wives recite lists of grievances in tremulous voices, like frightened villagers petitioning the czar in the days of the Russian Empire. ![]() Justin Chang, Los Angeles Times, 26 Sep. 2021 Dominik seems to have directed De Armas to lead with her tremulous vulnerability, to drift through the movie in blurred states of fragility, anxiety and panic. 2014 The show, which is based on the romance novels by Julia Quinn and produced by Shonda Rhimes, seduces with its tremulous sighs, feigned swoons, and montages of scenes between the sheets. ![]() Tom Yulsman, Discover Magazine, 26 Apr. ![]() When Helen was just a child, 'Teacher' Anne Sullivan wrote a poem called 'Hands': 'Hands, understanding hands, hands that caress like delicate green. Recent Examples on the Web From the upper branches of the cottonwood trees overhead - whose shimmering, tremulous leaves are hardly ever quiet, but if the wind stirs at all, rustle and quiver all day long - comes now and then the soft melancholy cooing of the mourning dove, whose voice always seems far away. the tremulous echo - tremulous stock pictures, royalty-free photos & images President Reagan hugging tremulous Nancy after endorsing VP Bush's President candidacy at 'president's dinner'. ![]()
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