2014, Cardiac Arrest and Ultrasound - Cardiovascular Update

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2014

Cardiac Arrest

Ultrasound

Two patients with chest pain and RBBB: do either have occlusion MI?

Dr. Smith's ECG Blog

OCTOBER 17, 2024

I would do bedside ultrasound to look at the RV, look for B lines as a cause of hypoxia (which would support OMI, and argue against PE), and if any doubt persists, a rapid CT pulmonary angiogram. There was 100% proximal LAD occlusion with TIMI 0 flow, and cardiac arrest in the cath lab.

Chest Pain

Chest Pain STEMI Pulmonary Embolism

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

NOVEMBER 4, 2022

Methods STEMI activations between January 2014 and April 2018 at the University of Arizona Medical Center were identified. Thirty-six patients (36%) presented with cardiac arrest, and 78% (28/36) underwent emergent angiography. A emergent cardiology consult can be helpful for equivocal cases.

Ischemia

Ischemia STEMI Stenosis Chest Pain

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Two patients with chest pain and RBBB: do either have occlusion MI?

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

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