#473 Rapid Response Series: Narrow Complex Tachyarrhythmias with Dr. Noble Maleque

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 3 March 2025

⏱️ 63 minutes

🔗️ Recording | iTunes | RSS

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Summary

Intro
Case 1, part 1: Unstable narrow tachyarrhythmias
Case 1, part 2: Stable, narrow tachyarrhythmias – regular rhythm
Vagal tone: Valsalva, Modified Valsalva, or Carotid Massage?
Adenosine
2nd line AV nodal blockade: metoprolol, diltiazem
Case 2: Stable, narrow tachyarrhythmias – irregular rhythm
AV nodal blockade
Amiodarone and diltiazem
Rapid fire questions/Picks of the Week
Outro

Credits

Please consolidate if performing multiple jobs (e.g. Written and Produced by: Cyrus Askin MD; cover art and infographic by Kate Grant)

Producer, writer, Infographic, cover art, and show notes by: Caroline Coleman, MD
Hosts: Meredith Trubitt, MD and Monee Amin, MD
Reviewer: Rahul Ganatra, MD MPH
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Noble Maleque, MD

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Transcript

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0:00.0	Hey, before we get to the show, I wanted to remind you to check out our Patreon at patreon.com slash curbsiders.
0:06.6	If you haven't signed up yet, sign up now to get ad-free episodes, twice-monthly bonus episodes,
0:11.8	and a whole bunch of other cool stuff at patreon.com slash curbsiders.
0:18.2	How did George Washington's parents know that he wasn't going to be a cardiologist when he grew up?
0:23.9	I don't know.
0:26.2	Because after he cut down that cherry tree, he couldn't tell a flip.
0:34.9	Noble Mollock for the win.
0:40.9	The curbsiders podcast is for entertainment, education, and information purposes only.
0:44.0	And the topics discussed should not be used solely to diagnose, treat, or prevent any diseases or conditions.
0:47.4	For the more, the views and statements expressed on this podcast are solely those of those and should not be interpreted to reflect official policy or position of any entity.
0:51.5	Aside from possibly, cash like moral, more honest, and affiliate outreach programs.
0:53.7	If indeed, there are any. in fact, there are none.
0:55.6	Pretty much, we are responsible if you screw up.
0:56.7	You should always do your own homework and let us know when we're wrong.
1:02.3	And welcome back to curbsiders.
1:08.4	I'm Dr. Moni Amin.
1:09.3	Join my eternally effervescent co-host, Dr. Meredith Trubitt. How are you this evening?
1:13.4	I'm doing well, Moni. Thanks. On tonight's show, we're going to discuss the management of acute tachy arrhythmias narrow complex with our hospitalist guest, dear friend of the curb legend, Dr. Noble Malik. I'll remind you a little bit about him here in a second, as well as the topic.
1:29.4	But first, Meredith, will you please remind the good people in the audience what it is we do on
1:33.9	the show?
1:35.0	Sure, Mone. We are the internal medicine podcast. We use expert interviews to bring you clinical
1:39.4	pearls and practice changing knowledge. Before we jump to our bio for our guest, we just wanted to plug an
	...

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