Some "out of the box thinking". A paediatrician friend of mine used to visit me as a friend quite frequently. We shared many of our problems. Now both of us are 60+. Once she told me she is having some ectopics. I was feeling her pulse, yes there was an ectopic occurring once in about an hour followed by a compensatory pause. She remembered her physiology classes but I told her to get an ECG and a holter done. She refused.
After some months she said she has more ectopics and twice she had spells of tachycardia which subsided in one or two minutes. Must be PSVT. That was a panic button for me. We talked and talked about holter, EPS, RFA, Implantable defibs, Echo, Coronary angio. She refused everything. So I told her to take diltiazem and Amiodarone. She agreed to read about these drugs. In a few days when I visited her she was of the opinion " Why should I block my calcium channels and…
