2009, Ischemia and Pacemaker - Cardiovascular Update

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2009

Ischemia

Pacemaker

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

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

Tachycardia Blog Ischemia Heart Failure

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

Dr. Smith's ECG Blog

APRIL 8, 2015

Evidence of acute ischemia (may be subtle) vii. 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. Arch Intern Med 2009 Jul 27; 169:1262.

Arrhythmia

Arrhythmia Outcomes Chest Pain Risk Factors

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

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

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