Dr. Smith's ECG Blog
FEBRUARY 6, 2024
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.
Dr. Smith's ECG Blog
DECEMBER 24, 2023
Flecainide : This is a potentially dangerous Na channel blocker which can cause ventricular dysrhythmias including ventricular fibrillation. It is possible that her disease has progressed to the point where she cannot be kept in sinus rhythm, but it is worth a try. She is already anti-coagulated, so that is not an issue.
Dr. Smith's ECG Blog
SEPTEMBER 19, 2023
A b rief chart review revealed his most recent echo in 2018, with LV EF 67%, “very small” inferior wall motion abnormality. If you don't know what the dysrhythmia is, then try procainamide. Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. What to do now?
Dr. Smith's ECG Blog
SEPTEMBER 7, 2020
Meyers, Smith; Weingart wrote an extensive review on Idiopathic VT in the September 14, 2018 post of Dr. Smith’s ECG Blog. 14, 2018 post adds a series of PEARLS on “My Take” regarding this subject. As a result — it’s worth briefly reviewing this entity of “ Idiopathic ” VT. My Comment at the bottom of this Sept.
Dr. Smith's ECG Blog
JULY 31, 2018
Now you have ECG and troponin evidence of ischemia, AND ventricular dysrhythmia, which means this is NOT a stable ACS. (For those of you who are accustomed to the units of high sensitivity troponin (ng/L), this is equivalent to 20,956.00 Again, cath lab was not activated. What does this troponin level mean? Circ Cardiovasc Interv. Hayes, S.N.,
Dr. Smith's ECG Blog
JULY 22, 2023
There were no dysrhythmias on cardiac monitor during observation. This discussion comes from this previous post: Hyperthermia and ST Elevation Discussion Brugada Type 1 ECG changes are associated with sudden cardiac death (SCD) and the occurrence of ventricular dysrhythmias. He was found to be influenza positive. Is there fever again?
Dr. Smith's ECG Blog
JANUARY 30, 2019
The limb lead abnormalities appear to be part of the Brugada pattern, as described in this article: Inferior and Lateral Electrocardiographic RepolarizationAbnormalities in Brugada Syndrome Discussion Brugada Type 1 ECG changes are associated with sudden cardiac death (SCD) and the occurrence of ventricular dysrhythmias.
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