Remove 2015 Remove Electrocardiogram Remove Myocardial Infarction
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Right precordial ST depression in a patient with chest pain

Dr. Smith's ECG Blog

Electrocardiographic Manifestations: Acute posterior wall myocardial infarction. Posterior myocardial infarction: the dark side of the moon. New electrocardiographic criteria for posterior wall myocardial ischemia validated by percutaneous transluminal coronary angioplasty model of acute myocardial infarction.

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Hypertrophic Cardiomyopathy

EMS 12-Lead

New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. References Naidu, S. Diagnosis and management of hypertrophic cardiomyopathy: Expert analysis. American College of Cardiology. Tower-Rader, A. & Desai, M. Pacing Clin Electrophysiol.

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A man in his 70s with acute chest pain and paced rhythm.

Dr. Smith's ECG Blog

American Heart Journal 170(6):1255-1264; December 2015. Diagnosis of Acute Myocardial Infarction in the Presence of Left Bundle Branch Block using the ST Elevation to S-Wave Ratio in a Modified Sgarbossa Rule. Why is there this notion that myocardial infarction cannot be diagnosed in the setting of ventricular paced rhythm?

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Abstract 4134796: Safety of over 1000 consecutive, selected low risk patients with accelerated discharge from a chest pain unit with early generation cardiac troponin use, no cardiac functional or anatomic testing and no clinical risk scores

Circulation

LR was based on normal examination, stable hemodynamics, normal electrocardiograms (ECG), and negative cardiac troponin I, without pre-discharge functional or anatomic cardiac testing or risk scores. Length of stay (LOS) in the CPU to discharge was 10.4

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Abnormal Electrocardiogram (ECG): Defined (San Fran syncope rule) as any new changes when compared to the last ECG or presence of non-sinus rhythm. Results : Electrocardiograms (99%), telemetry (95%), cardiac enzymes (95%), and head computed tomography (CT) (63%) were the most frequently obtained tests.