Remove 2013 Remove Echocardiogram Remove Electrocardiogram
article thumbnail

Cardiac arrest: even after the angiogram, the diagnosis is not always clear

Dr. Smith's ECG Blog

An echocardiogram on day 3 showed no wall motion abnormality (but of course, these can resolved with reperfusion, and the more time it has to resolve from "stunning", the more likely it is to be resolved). Updates on the Electrocardiogram in Acute Coronary Syndromes. Current Emergency and Hospital Medicine Reports (2013) 1:4352.

article thumbnail

A man in his 70s with weakness and syncope

Dr. Smith's ECG Blog

Formal echocardiogram showed normal EF, no wall motion abnormalities, no pericardial effusion. Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. The patient proceeded to cath where all coronaries were described as normal with no evidence of any CAD, spasm, or any other abnormality.

article thumbnail

90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

See this case: what do you think the echocardiogram shows in this case? New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. All electrocardiograms (ECGs) and coronary angiograms were blindly analyzed by experienced cardiologists.

article thumbnail

Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

A formal echocardiogram was completed the next day and again showed a normal ejection fraction without any focal wall motion abnormalities to suggest CAD. Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. The Troponin I was cycled over time and was 0.353 followed by 0.296. Circulation, 117, 1890–1893.