Background: Studies addressing the utility of cardiac telemetry monitoring for patients hospitalized with COVID-19 pneumonia (PNA) is sparse. Patients hospitalized with COVID-19 PNA are at higher risk for cardiac complications (1-3), thus many hospitals instituted mandatory cardiac telemetry monitoring for patients hospitalized with COVID-19 PNA. However, there is scant data assessing the utility of cardiac [...]

Background: Ventricular tachycardia (VT) is the most common cause of wide complex tachycardia and a potentially fatal cardiac rhythm disorder. Ventricular arrhythmias, including VT, cause approximately 25% of sudden cardiac deaths. Some studies have proposed a dose-response relationship between VT burden and risk of mortality; however, these studies may have been limited by the inclusion [...]

Case Presentation: A 51-year-old morbidly obese male without any significant past medical history presented to the hospital for evaluation of one month history of worsening dyspnea on exertion associated with orthopnea and PND. He was hemodynamically stable and physical examination revealed 2+ bilateral lower extremity pitting edema. Initial laboratory workup was significant for high-sensitivity troponin [...]

Case Presentation: A 39-year-old male with no significant past medical history presented to the ED with dyspnea on exertion, palpitations, orthopnea, lightheadedness, anxiety, 100-pound weight loss over a 2-year period, and swelling in his left lower extremity. Upon admission, the patient was tachycardic and tachypneic. EKG was significant for new onset atrial fibrillation with RVR, [...]

Background: Inpatient telemetry monitoring is a limited resource. The value of telemetry monitoring in hospitalized patients with high risk for cardiac arrhythmia is high. However, telemetry monitoring is often ordered for inpatients at low risk for cardiac arrhythmia. The SHM’s Choosing Wisely campaign recommended avoiding continuous telemetry monitoring in non-ICU patients without a protocol. Ordering [...]