2023 AFIB Cardiac Arrest 
Dr. Smith's ECG Blog
SEPTEMBER 16, 2024
While on telemetry monitoring he suffered cardiac arrest and was resuscitated. What ECG finding may have contributed to (or precipitated) the cardiac arrest? Learning points : Takotsubo can lead to cardiac arrest from ventricular arrhythmia. There are no clear signs of OMI. There is a prolonged QTc.
Dr. Smith's ECG Blog
FEBRUARY 2, 2024
We periodically review this intriguing ECG finding that is best known for its association with hypothermia — but which may also be seen in association with a number of other entities, including acute infarction and cardiac arrest. My Comment addresses a few additional aspects of this phenomenon. Baseline artifact is no longer present.
Dr. Smith's ECG Blog
DECEMBER 13, 2024
KEY Point: Nothing other than AFib with WPW results in a ventricular response this fast ( which is why Figure-2 is pathognomonic for AFib in a patient with WPW ). Regarding AFib with WPW: The very rapid heart rate and at times extremely short R-R intervals put the patient with AFib and WPW at risk of cardiac arrest from VFib.
Ken Grauer, MD
JULY 9, 2023
Blood was drawn , and the patient was promptly placed in a room to be seen — but on entering, the ED physician found her unresponsive in cardiac arrest. Do you see any indication on this ECG of WHY this patient was about to arrest? Is there any indication on this ECG of WHY this patient shortly after had a cardiac arrest?
Dr. Smith's ECG Blog
SEPTEMBER 12, 2023
Followup: he was found to have hyperparathyroidism == MY Comment , by K EN G RAUER, MD ( 9/12 /2023 ): == Today's ECG is remarkable for an uncommon but important finding that we periodically review, because it otherwise is all-too-easy to overlook. Thus, the patient's chemistry was done and revealed ionized hypercalcemia of 6.3
Dr. Smith's ECG Blog
MAY 26, 2023
Severely ill patients from any etiology can have very abnormal ECGs = My Comment by K EN G RAUER, MD ( 5/26 /2023 ): = There are more questions than answers in today's case. If the situation is not right for acute coronary occlusion, then the ECG findings probably do not represent acute coronary occlusion.
Dr. Smith's ECG Blog
MAY 3, 2024
Some patients have baseline RBBB with LAFB, but in patients with likely ACS, these are associated with severe infarction with cardiac arrest, cardiogenic shock or impending shock. Suffice it to say that, "The heart does whatever it will do when a patient is about to arrest". RBBB + LAFB in the setting of ACS is very bad.
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