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Hopefully a repeat echocardiogram will be performed outpatient. 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. 2016, April 13). No cardiac MRI was done.
Formal echocardiogram showed normal EF, no wall motion abnormalities, no pericardial effusion. There were no dysrhythmias on cardiac monitor during observation. The patient proceeded to cath where all coronaries were described as normal with no evidence of any CAD, spasm, or any other abnormality. No more troponins were done.
Later, he underwent a formal echocardiogram: Very severe left ventricular enlargement (LVED diameter 7.4 N OTE : I begin with Figure-1 — in which I show 3 examples of R egular S VT r hythms , in which sinus P waves ( ie, upright P waves in lead II ) are not seen: E CG # 1 in Figure-1 is from the October 31, 2016 post on Dr. Smith’s 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. Cardiology was consulted and they agreed that the EKG had an atypical morphology for STEMI and did not activate the cath lab. Prognostic significance of fever-induced Brugada syndrome.
Finally, much of this correlates well with The new Canadian Syncope Arrhythmia Risk Score , just published in 2016, results of which are given below in the Annotated Bibliography. Dysrhythmia, pacer), 4) valvular heart disease, 5) FHx sudden death, 6) volume depletion, 7) persistent abnormal vitals, 8) primary CNS event __ 3) Mendu ML et al.
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