Dr. Smith's ECG Blog

OCTOBER 8, 2024

Given that this is before it is released into the circulation by reperfusion therapy, this is a massively elevated troponin. A temporary pacemaker was implanted, and she was admitted to the ICU with cardiogenic shock. 2009;Available from: [link] 4. The EKG was not repeated until 7 AM the next morning, about 16 hours later.

Cardiac Arrest 123

Cardiac Arrest Myocardial Infarction STEMI Cardiogenic Shock 123

Dr. Smith's ECG Blog

JANUARY 1, 2024

Again, see Ken's discussion below) Discussion continued The absence of pace spikes suggests this is not a pacemaker/ICD-related rhythm in this patient with an ICD. Are the apparent P-waves (which now we suspect might not be P-waves) actually part of the QRS, in which case the QRS is even wider than it appears? Where does the QRS begin?

Tachycardia 112

Tachycardia Blog Ischemia Heart Failure 112

Dr. Smith's ECG Blog

APRIL 8, 2015

Negative predictors of adverse outcome: Pacemaker Pre-syncope or "near-syncope," but there is still some small risk (5, 18) These last two are identified in studies, but I consider them dangerous signs and symptoms in their own right, as above: 10. —QRS Arch Intern Med 2009 Jul 27; 169:1262. Arch Intern Med 2009 Jul 27; 169:1305.

Arrhythmia 52

Arrhythmia Outcomes Chest Pain Risk Factors 52

Dr. Smith's ECG Blog

FEBRUARY 4, 2025

If the block is not vagal in nature, the patient should receive a pacemaker. There was a randomized trial to determine whether pacemakers could benefit patients with vasovagal syncope, aptly named The North American Vasovagal Pacemaker Study (VPS). In the repeat study (VPS II), EVERY patient had an implanted pacemaker.

Pacemaker 84

Pacemaker Bradycardia Document Heart Rhythm 84