Remove 2019 Remove AFIB Remove Hemorrhage
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What is this ECG finding? Do you understand it before you hear the clinical context?

Dr. Smith's ECG Blog

Osborn waves have been reported with hypercalcemia, brain injury, subarachnoid hemorrhage, Brugada syndrome, cardiac arrest from VFib — and — severe, acute ischemia resulting in acute MI ( See My Comment in the November 22, 2019 post on Dr. Smith’s Blog ). Rituparna et al — as well as Chauhan and Brahma ( Int.

Blog 138
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Cryptogenic Stroke

Dr. Sanjay Gupta

In hemorrhagic strokes, there is a bleed and therefore the blood that would have gone to supply the brain cells goes somewhere else. Conditions such as AFib are often said to be associated with stroke as a consequence of cardioembolism. It will help delineate between hemorrhagic and ischemic stroke.

Stroke 52
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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

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. Now there is a paper published in 2019 that proves the point beyond doubt, though makes it clear that this pattern is associated with very high mortality.

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

Dr. Smith's ECG Blog

A man in his 40s with multitrauma from motor vehicle collision Massive Transfusion for Motorcycle Collision with Hemorrhage, Troponin Elevated. 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 ).