Remove 2009 Remove Bradycardia Remove Myocardial Infarction
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75 year old with 24 hours of chest pain, STEMI negative

Dr. Smith's ECG Blog

There’s sinus bradycardia, normal conduction, normal axis, delayed R wave progression, and normal voltages. The patient has a history of CABG so some of these changes could be old, but with ongoing chest pain and bradycardia in a high risk patient this is still acute OMI until proven otherwise. Inferior infarct, age undetermined.

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Assessment of LV Diastolic Function by Echo in SR and AF

All About Cardiovascular System and Disorders

Use of drugs producing bradycardia like beta blockers in stages III and IV may precipitate low output state. 2009 Sep;17(3):86-95. Ratio of left ventricular peak E-wave velocity to flow propagation velocity assessed by color M-mode Doppler echocardiography in first myocardial infarction: prognostic and clinical implications.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

PVCs N ot generally considered abnormal ECG findings: Isolated PAC, First Degree AV Block, Sinus bradycardia at a rate of 35-45, and Nonspecific ST-T abnormalities (even if different from a previous ECG). Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful.