Remove 2019 Remove AFIB Remove Echocardiogram
article thumbnail

ECG Blog #412 — Is Cardiac Cath Indicated?

Ken Grauer, MD

That said — distinction between "classic" HCM vs the apical HCM for m may be useful because: i ) ECG findings tend to be different ( Lyon et al — Europace 20:102-112iii, 2018 ) ; — ii ) Echo appearance is different when hypertrophy localizes to the apex; and , iii ) There is a significantly greater incidence of AFib with apical HCM.

Blog 159
article thumbnail

90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

See this case: what do you think the echocardiogram shows in this case? With the history of Afib, CTA abdomen was ordered to r/o mesenteric ischemia vs ischemic colitis vs small bowel obstruction. Am J Med 2019, 132(5):622-630. American Journal of Medicine 132(5):622-630; May 2019. The patient was placed on telemetry.

article thumbnail

Patient in Single Vehicle Crash: What is this ST Elevation, with Peak Troponin of 6500 ng/L?

Dr. Smith's ECG Blog

An echocardiogram was done. Kazmi et al have reported on a case in which chest trauma was transiently associated with development of a Brugada-1 ECG pattern ( J Am Coll Cardiol 73 [9-Supp-1], 2019 ). Other Arrhythmias ( PACs, PVCs, AFib, Bradycardia and AV conduction disorders — potentially lethal VT/VFib ).

article thumbnail

Cryptogenic Stroke

Dr. Sanjay Gupta

Conditions such as AFib are often said to be associated with stroke as a consequence of cardioembolism. Another way of imaging the heart is via a transesophageal echocardiogram. Keywords: Cryptogenic strokes; AF; Afib; PFO; stroke; blood clots; thrombophilia; Antiphospholipid syndrome. This is called cardioembolism.

Stroke 52
article thumbnail

Noisy, low amplitude ECG in a patient with chest pain

Dr. Smith's ECG Blog

While awaiting transfer to the cath lab, STAT echocardiogram was performed and showed LVEF 30-35%, as well as anterior, inferior, and apical hypokinesis, and apical thrombus. The April 6, 2023 post — excessive baseline artifact misdiagnosed as AFib ( instead of sinus rhythm with AV Wenckebach — as in Figure-4 in this post ).

article thumbnail

New Onset Heart Failure and Frequent Prolonged SVT. What is it? Management?

Dr. Smith's ECG Blog

Later, he underwent a formal echocardiogram: Very severe left ventricular enlargement (LVED diameter 7.4 E CG # 2 in Figure-1 is from the October 16, 2019 post on Dr. Smith’s Blog. I review my S ystematic A pproach to Rhythm Interpretation in detail in My Comment to the October 16, 2019 post on Dr. Smith’s ECG Blog.