Dr. Smith's ECG Blog

OCTOBER 15, 2024

It should be treated as such unless there is more information such as old or serial EKGs that can confirm a benign diagnosis, as BTWI patterns can mimic the South Africa Flag Sign (Compare this EKG to case 4 here: [link] com/2022/05/quiz-post-which- of-these-if-any-are-omi.html ).

Chest Pain 106

Chest Pain STEMI Echocardiogram Stents 106

The British Journal of Cardiology

DECEMBER 3, 2024

We carried out a prospective national specialist nurses in organ donation (SNOD) audit of UK donor offers between 20 August and 31 November 2022, and a prospective national recipient transplant centre audit of all donor offers between 22 September and 19 December 2022. hours (interquartile range [IQR] 13.9–33.2).

Transplant 40

Transplant Nursing Echocardiogram Article 40

Heart BMJ

FEBRUARY 12, 2024

Results 48 patients (71% with a Fontan circulation, 42% females, mean age 33±9 years) underwent two CPETs between May 2018 and May 2022 with echocardiograms performed within 6 months of each CPET. Apple Watch was the predominant smartwatch used (79%).

Congenital Heart Disease 40

Congenital Heart Disease Exercise Congenital Heart Disease 40

Dr. Smith's ECG Blog

OCTOBER 30, 2023

So the artery had completely spontaneously reperfused prior to intervention; the duration of occlusion was perhaps 2 hours The troponin peaked at 60,000 ng/L (a very large infarction) Formal bubble contrast echocardiogram --The estimated left ventricular ejection fraction is 46%. Regional wall motion abnormality-inferior.

STEMI 112

STEMI Heart Failure Stent Stents 112

European Journal of Heart Failure

DECEMBER 28, 2023

Methods In a retrospective cohort study, we used an NLP pipeline applied to the Electronic Health Record (EHR) to identify patients with a clinical diagnosis of HF between 2010-2022. Of 3727 consecutive patients with HF and LVEF ≥ 50% on echocardiogram, only 8.3% Results were validated in a second, independent centre.

Preserved Ejection Fraction 40

Preserved Ejection Fraction Heart Failure Echocardiogram Article 40

Journal of the American Heart Association

NOVEMBER 28, 2023

BackgroundComplex aortic plaque (CAP) is a potential embolic source in patients with cryptogenic stroke (CS).

Plaque 40

Plaque Biomarkers Aortic Strokes 40

Cardiomatics

JUNE 6, 2024

For instance, the average waiting time for an echocardiogram at Turin’s Molinette Hospital was 31 days in 2016 and an even longer 53 days for a Holter ECG. Prior to the new regulation, getting a consultation with a cardiologist or getting a needed diagnostic cardiology test often involved long waiting times.

COVID-19 98

COVID-19 Hospital Outpatient Innovation 98

Dr. Smith's ECG Blog

SEPTEMBER 9, 2024

The patient was thought to have low likelihood of ACS, and cardiology recommended repeat troponin, urine drug testing, and echocardiogram. Bedside echocardiogram showed hypokinesis of the mid to distal anterior wall and apex. Initial hscTnI was 10 ng/L (ref. <14). There was no recommendation for repeat ECG.

Plaque 70

Plaque Stents Stent Chest Pain 70

Dr. Smith's ECG Blog

JUNE 27, 2024

The echocardiogram showed a normal EF without any abnormalities. I suspect there is LA-RA Lead Reversal ( See My Comment in the August 17, 2022 post of Dr. Smith's ECG Blog for review of the effects of LA-RA reversal ). Troponins were all negative. There was no apparent reversible cause found for the worsening heart block.

Blog 120

Blog Pacemaker Bradycardia Tachycardia 120

Dr. Smith's ECG Blog

SEPTEMBER 21, 2022

Echocardiogram: The estimated left ventricular ejection fraction is 34% Regional wall motion abnormality-lateral, akinetic. The February 10, 2022 post in Dr. Smith's ECG Blog — My Comment ( at the bottom of the page ) illustrates the Mirror Test in a case with posterior reperfusion waves ( ie, tall anterior T waves ).

Chest Pain 52

Chest Pain Blog Ischemia STEMI 52

Dr. Smith's ECG Blog

JULY 14, 2023

Formal Echocardiogram: Normal left ventricular size and wall thickness. As I emphasized in My Comment at the bottom of the page in the October 10, 2022 post in Dr. Smith's ECG Blog — Interpretation of a post-resuscitation ECG can be extremely challenging. First — Some thoughts on the post -resuscitation ECG.

Cardiac Arrest 85

Cardiac Arrest Chest Pain Defibrillator Atrial Flutter 85

Dr. Smith's ECG Blog

SEPTEMBER 29, 2023

The emergent echocardiogram showed normal EF, no WMA, and normal valve function. Unfortunately, this fooled the Emergency Physician and Cardiologist into an emergent angiogram for perceived "inferior STEMI." The angiogram showed completely normal coronary arteries. They rhythm returned to sinus reportedly after metoprolol IV was given.

Chest Pain 119

Chest Pain Tachycardia STEMI Blog 119

Dr. S. Venkatesan MD

MARCH 19, 2024

He had his echocardiogram done already and was normal. 2022 Jan 5;11(1):279. I don’t know, whether a single blocked P could by any way a concealed Wenke -Bach. I didn’t have calipers to measure the PR accurately though. The baseline heart rate was around a vago-genic 60/mt, that was comforting. J Clin Med.

Arrhythmia 52

Arrhythmia Sudden Cardiac Death Electrophysiology Cardiomyopathy 52

Dr. Smith's ECG Blog

DECEMBER 22, 2022

He visited an outpatient clinic for it and an echocardiogram and exercise stress test was normal. In the meantime, cardiology consultant sees the patient and performs a bedside echocardiogram which revealed no major wall motion abnormalities. He has 40 packs-year of smoking history. He denies taking any medication. doi: 10.5543/tkda.2021.21026.

STEMI 52

STEMI Chest Pain Myocardial Infarction Electrocardiogram 52

Dr. Smith's ECG Blog

OCTOBER 22, 2024

The echocardiogram shows a preserved left ventricular ejection fraction (LVEF) of 55% with marked basal and mid inferolateral and basal anterolateral hypokinesia. Successful primary angioplasty of the mid-circumflex artery towards the main marginal branch with the implantation of a drug-eluting stent. Good angiographic result.

Chest Pain 70

Chest Pain STEMI Myocardial Infarction Angioplasty 70

Dr. Smith's ECG Blog

DECEMBER 18, 2022

Next day echocardiogram showed inferolateral hypokinesia with an EF of %45-50. On echocardiogram you will not see a "posterior" hypokinesia (will see "inferolateral") and, as in this case, LCx may not give the blood supply of basal inferior segment (formerly called "posterior"). 2022 Mar-Apr;71:44-46. Epub 2022 Jan 31.

Myocardial Infarction 40

Myocardial Infarction Chest Pain Blog Echocardiogram 40

Dr. Smith's ECG Blog

NOVEMBER 11, 2023

The diagnosis was a bit hard to find in the chart, and the echocardiogram did only stated "assymetric hypertrophy." Re ECG recognition of SA Block — See My Comment at the bottom of the page in the May 25, 2022 post — as well as my comment in the Addendum of the August 30, 2023 post.

Strokes 74

Strokes Stroke Chest Pain Cardiomyopathy 74

Dr. Smith's ECG Blog

DECEMBER 11, 2023

Her contrast enhanced echocardiogram is shown below in the parasternal short axis view. After returning from lab repeat troponin was 20,380 ng/L, and later that evening it peaked at 29,571 ng/L before trending down. The patient suffered a large infarct. Clin Cardiol [Internet].

Myocardial Infarction 123

Myocardial Infarction Chest Pain STEMI Blood Pressure 123

Dr. Smith's ECG Blog

NOVEMBER 25, 2022

An echocardiogram was done. Blunt Trauma in a Child 40-something male in a head-on Motor Vehicle Collision and Splenic Injury == MY Comment, by K EN G RAUER, MD ( 10/10 /2022 ): == Highly interesting post by Dr. Smith regarding a 30-something male with multiple injuries from a motor vehicle accident. Is there also Brugada?

Arrhythmia 52

Arrhythmia Blog Chest Pain Cardiac Arrest 52

Dr. Smith's ECG Blog

FEBRUARY 4, 2022

Formal Echocardiogram: The estimated left ventricular ejection fraction is 58 %. 2022 Jan;51:384-387. A DDENDUM ( 2/8/2022 ): Dr. Mario Parrinello , an esteemed cardiology colleague of ours from Cremona, Italy — wrote the following comment regarding today’s post on the EKG Club. Left ventricular hypertrophy concentric.

Chest Pain 52

Chest Pain STEMI Article Myocardial Infarction 52

Dr. Smith's ECG Blog

AUGUST 6, 2024

Elevated troponins prompted an echocardiogram — which revealed an apical wall motion abnormality (WMA). Patient #1 in today's post did not get expert ECG interpretation. Despite active CP — cath lab activation was deferred and this patient was transported to a local hospital without PCI capability.

Chest Pain 84

Chest Pain Ischemia Pericarditis Tachycardia 84

Dr. Smith's ECG Blog

JULY 16, 2022

Here is the post PCI EKG: And a few hours after that: The post PCI echocardiogram showed: Normal estimated left ventricular ejection fraction, 57%. This is a large OMI that has Zero ST Elevation but can be diagnosed by ECG features other than ST Elevation!! Regional wall motion abnormality-mid to basal inferior wall.

Chest Pain 52

Chest Pain Bradycardia Blog Critical Care 52

Dr. Smith's ECG Blog

JULY 22, 2023

Formal echocardiogram showed normal EF, no wall motion abnormalities, no pericardial effusion. The patient proceeded to cath where all coronaries were described as normal with no evidence of any CAD, spasm, or any other abnormality. No more troponins were done. He was found to be influenza positive. 1849 after cath: Brugada pattern is gone!

Chest Pain 67

Chest Pain Heart Rhythm Sudden Cardiac Death Dysrhythmia 67

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

See this case: what do you think the echocardiogram shows in this case? Routine STEMI activation in STE-aVR for emergent revascularization is not warranted, although urgent, rather than emergent, catheterization appears to be important. == MY Comment, by K EN G RAUER, MD ( 11/4 /2022 ): == Our thanks to Drs.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

JANUARY 15, 2024

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 October 21, 2022 post — for " artifactual VT". This confirms the suspicion of prior anterior OMI. The thrombus is circled below in red.

Chest Pain 67

Chest Pain Blog Critical Care Arrhythmia 67

EMS 12-Lead

AUGUST 22, 2022

Indeed, bedside Echocardiogram revealed severe left ventricular impairment of Takotsubo cardiomyopathy. Surawicz and Knilans report that intense catecholamine surge, or severe maladjustment of the autonomic nervous system, can manifest “cerebral T waves” in the absence of an acute intracranial process. potassium) were within normal parameter.

Tachycardia 52

Tachycardia Electrophysiology Cardiomyopathy ICU 52

Dr. Anish Koka

SEPTEMBER 24, 2022

This latest data dump did not arrive soon enough to affect the ACIP committee’s recommendations but should serve to chill the ambition of exuberant, overconfident bureaucrats still seeking to mandate vaccines in the fall of 2022. That work is far from complete. Anish Koka is a cardiologist.

COVID-19 52

COVID-19 Hospital Chest Pain Quality of Life 52

Dr. Smith's ECG Blog

NOVEMBER 1, 2022

After discussing all of the above with ED staff, we have made a decision to get stat echocardiogram and assess overall LV function and wall motion abnormalities and defer cath lab activation at the time." Precordial Swirl in ECG #1: As discussed in the October 15, 2022 post in Dr. Smith's ECG Blog — Drs. It does not radiate.

Chest Pain 52

Chest Pain Coronary Artery Bypass Graft Pericarditis Blog 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

Here is the cath report: Echocardiogram: There is severe hypokinesis of entire LV apex and apical segment of all the walls. Hospital Course The patient was taken emergently to the cath lab which did not reveal any significant coronary artery disease, but she was noted to have reduced EF consistent with Takotsubo cardiomyopathy.

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

Dr. Smith's ECG Blog

OCTOBER 25, 2022

She had an echocardiogram which was normal. She was prescribed oral diltiazem to prevent recurrence and was discharged. == MY Comment, by K EN G RAUER, MD ( 10/25 /2022 ): == Today’s blog post reviews the important topic of how to approach the patient who presents with palpitations from an SVT ( S upra V entricular T achycardia ) rhythm.

Tachycardia 52

Tachycardia Atrial Flutter Dysrhythmia Ablation 52

DAIC

APRIL 4, 2024

Approximately 39 million people were living with HIV at the end of 2022, according to the World Health Organization (WHO). All underwent MRI to measure coronary vessel wall thickness and an echocardiogram to assess left ventricular function. million lives so far.

Coronary Artery Disease 40

Coronary Artery Disease Cardiovascular Disease Cardiothoracic Sudden Cardiac Death 40

Frontiers in Cardiovascular Medicine

DECEMBER 18, 2024

All these three cases were observed with a severe regurgitation by echocardiogram in the last follow-up. Regular follow-up by echocardiogram is critically important for these patients. ResultsIn our cohort, the female/male ratio was 7:21, with an average age of 8.76.0 0.7526) years.

Outcomes 52

Outcomes Echocardiogram Hospital Research 52

Frontiers in Cardiovascular Medicine

DECEMBER 15, 2024

Retrospective analysis of NSCLC patients with 1 echocardiogram post-osimertinib between 2007 and 2022 was performed. However, the nature of cardiac remodeling and associated risk factors remains incompletely understood.

Cancer 52

Cancer Electrocardiogram Risk Factors BMI 52