Remove 2011 Remove Ischemia Remove Plaque
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An undergraduate who is an EKG tech sees something. The computer calls it completely normal. How about the physicians?

Dr. Smith's ECG Blog

This EKG is diagnostic of transmural ischemia of the inferior wall. The scan also showed “scattered coronary artery plaques”. __ Smith comment 1 : the appropriate management at this point is to lower the blood pressure (lower afterload, which increases myocardial oxygen demand). Annals of Emergency Medicine 2011; Suppl 58(4): S211.

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Electrical instability in a healthy 50 year old. How to manage?

Dr. Smith's ECG Blog

That said there were no clinical symptoms or ECG findings suggestive of ongoing ischemia. There were no plaques or stenoses. You have given IV MgSO4 a fast acting -blocker and IV amiodarone bolus and infusion. The possibility of an ischemic cause of the ventricular arrhythmia has to be considered!