Dr. Smith's ECG Blog

JANUARY 1, 2024

An initial electrocardiogram (ECG) is provided below. Cannon waves are associated with reduced RV compliance or elevated RV end-diastolic pressure ( Ali et al — Ann Noninvasic Electrocard 22:e12423, 2017 — and — Chen and Pel-Ying Pai — Circulation 119:e381, 2009 ). What do you think? What is the rhythm? The rate is 132 bpm.

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Tachycardia Blog Ischemia Heart Failure 112

Dr. Smith's ECG Blog

JULY 22, 2023

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]. Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. Heart Rhythm, 13(7): 1515-1520. [2]:

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Chest Pain Heart Rhythm Sudden Cardiac Death Dysrhythmia 92

Dr. Smith's ECG Blog

JUNE 2, 2023

Here is a 2017 review article on ARVD in the New England Journal There is a 2010 publication by the Task Force in Diagnosis of ARVD: Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: proposed modification of the task force criteria. The diagnosis is not easy (see below). J Electrocardiol, 42 (2009), pp.

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Tachycardia Cardiomyopathy Electrocardiogram Article 96

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]. Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. Heart Rhythm, 13(7): 1515-1520. [2]:

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Heart Rhythm Sudden Cardiac Death Arrhythmia STEMI 52

EMS 12-Lead

MAY 20, 2022

New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. Wolters-Kluwer: Philadelphia, PA. Josephson, M. Paroxysmal atrioventricular block: Eletrophysiological mechanism of phase 4 conduction block in the His-Purkinje system: A comparison with phase 3 block.

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Cardiomyopathy Ischemia STEMI Coronary Angiogram 52

Dr. Smith's ECG Blog

FEBRUARY 5, 2019

BMJ 2017;359:j4788 doi: 10.1136/bmj.j4788 (Published 2017 November 07) Full text link: [link] Abstract Objective To evaluate how selection of patients for high sensitivity cardiac troponin testing affects the diagnosis of myocardial infarction across different healthcare settings. Sandoval Y et al. to 20.3%) in the US.

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Myocardial Infarction Chest Pain Cardiogenic Shock STEMI 52

Dr. Smith's ECG Blog

DECEMBER 27, 2018

A Deep Neural Network learning algorithm outperforms a conventional algorithm for emergency department electrocardiogram interpretation. JACC 69(23):1694-1703; April 4, 2017. I do research on Cardiologs' algorithm: Smith SW et al. Cardiologs founder, Yann Flereau, was named by MIT as the European Innovator of the Year. What an honor.

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Chest Pain Hypertension STEMI Heart Disease 40

Dr. Smith's ECG Blog

NOVEMBER 24, 2017

Essential Reading : Full text link: AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram, Part IV: The ST Segment, T and U Waves, and the QT Interval (full text link). Heart 2002;87:220228 This 2017 article by Vandenberk B et al.

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Bradycardia Article Atrial Fibrillation Chest Pain 52

Dr. Smith's ECG Blog

JANUARY 17, 2024

J Electrocardiol 2017 2. Emergency department Code STEMI patients with initial electrocardiogram labeled ‘normal’ by computer interpretation: a 7-year retrospective review. International evaluation of an artificial intelligence-powered electrocardiogram model detecting acute coronary occlusion myocardial infarction.

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Chest Pain STEMI Myocardial Infarction Blog 118

Dr. Smith's ECG Blog

APRIL 8, 2015

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. Thiruganasambandamoorthy, V.,

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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). Fever not only unmasks a Brugada-type electrocardiogram (ECG) but also increases the risk of ventricular tachyarrhythmias such as ventricular fibrillation (VF) or sudden cardiac death.

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Sudden Cardiac Death Heart Rhythm Article Tachycardia 52

Dr. Smith's ECG Blog

FEBRUARY 10, 2025

Severe hyperkalemia: can the electrocardiogram risk stratify for short-term adverse events. West J Emerg Med 2017. Acute hyperkalemia in the emergency department: a summary from a Kidney Disease: Improving Global Outcomes conference. Eur J Emerg Med 2020. Durfey et al. Farkas et al.

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Bradycardia Cardiac Arrest Hypertension ICU 118