Dr. Smith's ECG Blog

MAY 20, 2024

This EKG is diagnostic of transmural ischemia of the inferior wall. Smith: note also the terminal QRS distortion in lead III (absence of S-wave without a prominent J-wave). __ Smith comment 1 : the appropriate management at this point is to lower the blood pressure (lower afterload, which increases myocardial oxygen demand).

Chest Pain 127

Chest Pain Blood Pressure Ischemia STEMI 127

Dr. Smith's ECG Blog

JULY 21, 2024

Immediately after contrast injection into the LMCA, the patient had circulatory collapse, with a precipitous drop in blood pressure. An Impella device was placed to maintain cardiac output and perfusion pressures. There is no definite evidence of acute ischemia. (ie, Epinephrine infusion was begun.

Arrhythmia 117

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 117

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

The initial blood pressure was 80/palp with a heart rate of 104, respirations 20, oxygen saturations of 94% and a finger stick blood glucose of 268. In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure.

Ischemia 52

Ischemia Cardiogenic Shock Aortic Stenosis 52

EMS 12-Lead

APRIL 28, 2022

The EMS narrative reports that her blood pressure and oxygenation improved modestly with rhythm stability for transport duration. In most cases, rather, the culprit is gross ischemia due to myocardial infarction, cardiomyopathy, or advanced coronary artery disease. Unfortunately, a post-conversion 12 Lead was not acquired.

Tachycardia 52

Tachycardia AFIB Coronary Artery Bypass Graft Arrhythmia 52