EMS 12-Lead

JUNE 1, 2022

plaque disruption), the T waves still manifest markings of a previous state of suboptimal coronary flow that resolved: Type II supply-demand mismatch in the setting of extreme bradycardia. 2] Although the clinical context in today’s case does not fit these descriptors for Type I OMI (e.g. Phase IV block, or concealed transeptal conduction).

Heart Failure 52

Heart Failure Myocardial Infarction Bradycardia Chest Pain 52

Dr. Smith's ECG Blog

JANUARY 30, 2019

For now, the 2017 AHA/ACC/HRS guidelines for asymptomatic patients that have inducible types of Brugada syndrome recommend observation without any specific therapies or interventions [8]. 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death.

Heart Rhythm 52

Heart Rhythm Sudden Cardiac Death Arrhythmia STEMI 52

Dr. Smith's ECG Blog

FEBRUARY 10, 2025

Theres sinus bradycardia, borderline PR interval, narrow QRS; normal axis/R wave progression; low precordial voltages, and subtle peaked T waves (most obvious in V2, but all T waves are symmetric with a narrow base). Theres no prior ECG to compare - but the bradycardia, prolonged PR and peaked T waves could all be from hyperkalemia.

Bradycardia 117

Bradycardia Cardiac Arrest Hypertension ICU 117

Dr. Smith's ECG Blog

APRIL 8, 2015

PVCs N ot generally considered abnormal ECG findings: Isolated PAC, First Degree AV Block, Sinus bradycardia at a rate of 35-45, and Nonspecific ST-T abnormalities (even if different from a previous ECG). Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful.

Arrhythmia 52

Arrhythmia Outcomes Chest Pain Risk Factors 52

Dr. Smith's ECG Blog

DECEMBER 5, 2019

This is based on the Sieira et al, 2017, risk calculator , which gives a borderline risk score (2). Regardless of further evaluation, she should avoid bradycardia, AV nodal blockers, Na channel blockers, and fevers. --If Follow up the next AM: Brugada pattern is resolved Below is what the electrophysiologist recommended.

Sudden Cardiac Death 52

Sudden Cardiac Death Heart Rhythm Article Tachycardia 52

Dr. S. Venkatesan MD

NOVEMBER 22, 2024

Epub 2017 Dec 8. Journal of atrial fibrillation 1.Scridon Scridon A, Şerban RC, Chevalier P. Atrial fibrillation: Neurogenic or myogenic? Arch Cardiovasc Dis. 2018 Jan;111(1):59-69. doi: 10.1016/j.acvd.2017.11.001. 2017.11.001. PMID: 29229215. P, Gehi AK. Atrial Fibrillation and Metabolic Syndrome: Understanding the Connection.

Atrial Fibrillation 52

Atrial Fibrillation Arrhythmia Risk Factors Bradycardia 52

Dr. Smith's ECG Blog

FEBRUARY 20, 2025

Papers I reviewed include ( Poudel et al Cureus 15(6): e40045, 2023 ) ( Chatterjee Neth Heart J 19:31-34, 2011 ) ( Yogendranathan et al BMC Cardiovasc Dis 17(91)- 2017 ) ( Ibrahim and Macdonald Stroke 43(8): 2102-2107, 2012 ) ( Levis Permanente J 21:16-049, 2017 ).

STEMI 88

STEMI Hemorrhage Cardiac Arrest Tachycardia 88

Dr. Smith's ECG Blog

JANUARY 21, 2023

This ECG shows a sinus bradycardia with a normal conduction pattern (normal PR, normal QRS, and normal QTc), normal axis, normal R-wave progression, normal voltages. Hypothermia can also produce bradycardia and J waves, with a pseudo-STEMI pattern. CMAJ 2017 Vassallo SU, Delaney KA, Hoffman RS, et al. What do you think?

STEMI 52

STEMI Bradycardia Arrhythmia Cardiac Arrest 52