Dr. Smith's ECG Blog

FEBRUARY 6, 2024

The ECG shows sinus tachycardia with RBBB and LAFB, without clear additional superimposed signs of ischemia. See these publications for more information Overall, management for cardiac contusion is mostly supportive unless surgical complications develop, involving appropriate treatment of dysrhythmias and hemodynamic instability.

Tachycardia 110

Tachycardia Dysrhythmia Atrial Fibrillation Bradycardia 110

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Smith comment: In a large randomized trial of dopamine vs. norepinephrine (11) for shock which was published after the above-mentioned recommendations, dopamine had more adverse events (especially severe dysrhythmias, and especially atrial fibrillation). 2015 Oct; 66(4):355-362. Annals of Emergency Medicine. De Backer D et al.

Ischemia 52

Ischemia Cardiogenic Shock Aortic Stenosis 52

Dr. Smith's ECG Blog

APRIL 8, 2015

If the patient has Abnormal Vital Signs (fever, hypotension, tachycardia, or tachypnea, or hypoxemia), then these are the primary issue to address, as there is ongoing pathology which must be identified. Annals of Emergency Medicine March 2015 ; Volume 65, Issue 3, Pages 268–276.e6 18) Venkatesh Thiruganasambandamoorthy et al.

Arrhythmia 52

Arrhythmia Outcomes Risk Factors Chest Pain 52