2017 Echocardiogram Ischemia 
Dr. Smith's ECG Blog
JUNE 23, 2024
This was interpreted by the treating clinicians as not showing any evidence of ischemia. Echocardiogram showed LVEF 66% with normal wall motion and normal diastolic function. He was intubated in the field and sedated upon arrival at the hospital. Here is his presenting ECG: ECG 1, t = 0 What do you think?
Dr. Smith's ECG Blog
OCTOBER 12, 2024
or basilar ischemia. Echocardiogram was obtained and showed mild LVH without regional wall motion abnormality. 2017 Sep-Oct;50(5):561-569. Epub 2017 Apr 19. EKG on arrival to the ED is shown below: What do you think? On my initial interpretation, the patient has normal sinus rhythm with a narrow QRS complex, and LVH.
Dr. Smith's ECG Blog
JANUARY 1, 2024
A rapid echocardiogram was performed, revealing an ejection fraction of 20% with thinning of the anterior-apical walls. Learning Point: Concordant ST segment elevation can arise from profound ischemia triggered by ventricular tachycardia (VT), or it may represent an exaggerated basal ST change accompanying tachycardia.
Dr. Smith's ECG Blog
JULY 22, 2023
Formal echocardiogram showed normal EF, no wall motion abnormalities, no pericardial effusion. 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]. No more troponins were done.
Dr. Smith's ECG Blog
JULY 27, 2023
hours ECG: Not much change hs troponin I peaks at 500 ng/L 8 hours Next morning Urine drug screen: Amphetamine, Methamphetamine, Fentanyl, Fentanyl metabolite Formal Bubble Contrast Echocardiogram: Indications for Study: Silent Ischemia. SUMMARY Normal left ventricular cavity size. Normal estimated left ventricular ejection fraction.
Dr. Smith's ECG Blog
OCTOBER 24, 2019
This strongly suggests reperfusing RCA ischemia. Troponins, echocardiogram An echocardiogram showed inferobasilar hypokinesis, further supporting a diagnosis of regional ischemia , likely of the area supplied by the RCA. There is also a Q-wave in III. There is also subtle STD in V3-V5. ng/ml (99th %-ile URL = 0.04
Dr. Smith's ECG Blog
JANUARY 30, 2019
A formal echocardiogram was completed the next day and again showed a normal ejection fraction without any focal wall motion abnormalities to suggest CAD. 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].
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