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Physical Examination as a Helpful Aid in Decision-Making in Challenging ECGs

Dr. Smith's ECG Blog

An initial electrocardiogram (ECG) is provided below. A rapid echocardiogram was performed, revealing an ejection fraction of 20% with thinning of the anterior-apical walls. His current medication regimen includes apixaban, carvedilol, perindopril, spironolactone, torasemide, dapagliflozin, amiodarone, and ivabradine.

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Precordial ST depression. What is the diagnosis?

Dr. Smith's ECG Blog

Seventh , an immediate echocardiogram can make the distinction. Blackwell Publishing 2009. Sixth , placement of posterior leads (take leads V4-V6 and place them at the level of the tip of the scapula, with V4 placed at the posterior axillary line ("V7"), V6 at paraspinal area ("V9"), and V5 ("V8") between them. At lease 0.5

STEMI 52
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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

Abnormal Electrocardiogram (ECG): Defined (San Fran syncope rule) as any new changes when compared to the last ECG or presence of non-sinus rhythm. Yield of Diagnostic Tests in Evaluating Syncopal Episodes in Older Patients Arch Intern Med 2009 Jul 27; 169:1299-1305. Arch Intern Med 2009 Jul 27; 169:1262. Sivilotti, M.,