2019 Echocardiogram Ultrasound 
Dr. Smith's ECG Blog
JANUARY 2, 2025
Bedside cardiac ultrasound showed moderately decreased LV function. EKG with paced complexes shown below shows much narrower QRS complex and echocardiogram showed improved LV systolic function primarily due to improvement in LV dyssynchrony. (J She was intubated. CT of the chest showed no pulmonary embolism but bibasilar infiltrates.
Dr. Smith's ECG Blog
MAY 13, 2020
What do you think the echocardiogram shows? This was a point of care ultrasound, not a bubble contrast echo. Cath lab activated Dual antiplatelet therapy and heparin given. NTG drip started. Pain better still. First trop I returns at 1.5. POCUS Echo: POCUS Echo with no wall motion abnormality and normal ejection fraction.
Dr. Smith's ECG Blog
DECEMBER 19, 2023
Two thirds of MINOCA cases are due to atherosclerotic causes One way to prove the diagnosis in this case would have been with intravascular imaging such as optical coherence tomography (OCT) or intravascular ultrasound (IVUS). His echocardiogram showed normal wall motion. Fortunately, that is exactly what happened.
Dr. Smith's ECG Blog
OCTOBER 24, 2019
Troponins, echocardiogram An echocardiogram showed inferobasilar hypokinesis, further supporting a diagnosis of regional ischemia , likely of the area supplied by the RCA. Often, intravascular ultrasound or intravascular optical coherence tomography is requeried to make the diagnosis. JACC 2019 Sep 10;74(10):1290-1300.
Dr. Smith's ECG Blog
NOVEMBER 4, 2022
See this case: what do you think the echocardiogram shows in this case? 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. American Journal of Medicine 132(5):622-630; May 2019.
Dr. Smith's ECG Blog
DECEMBER 13, 2019
The next morning the patient went for his routine echocardiogram, where the operator noticed a dilated aortic root at 5.47 Beware a negative Bedside ultrasound. That said — I illustrate HOW this RATIO is arrived at in Figure-2 , which I have adapted from the 3/16/2019 post in Life-In-The-Fast-Lane. Pericarditis?
Dr. Smith's ECG Blog
NOVEMBER 30, 2022
This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. This entire case is not consistent with takotsubo. It can only be seen by IVUS.
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