Dr. Smith's ECG Blog

OCTOBER 6, 2023

This is one case where it made a difference: Right Ventricular MI seen on ECG helps Angiographer to find Culprit Lesion Nevertheless, it is sometimes a fun academic exercise to try to predict the infarct artery: An elderly patient had onset of chest pain one hour prior. He called 911. Here is the prehospital ECG. What do you think?

Aneurysm 66

Aneurysm Chest Pain Cardiogenic Shock Blog 66

Dr. Smith's ECG Blog

FEBRUARY 23, 2023

Learning Points: Ectopic atrial rhythm can produce atrial repolarization findings that can be confused for acute ischemia, STEMI, or OMI. If you can safely and easily increase the patient's heart rate, you can convert the patient to sinus and repeat the ECG to see if the atrial repolarization wave was the cause of the concern for ischemia.

Blog 52

Blog Bradycardia Exercise Ischemia 52

Ken Grauer, MD

MARCH 29, 2023

As discussed in ECG Blog #363 — this rare genetic disorder almost always presents in association with emotional stress or with exercise (ie, CPVT is usually "induced" by catecholamine discharge ). ECG Blog #157 — Can you diagnose ischemia and/or infarction when there is WPW?

Blog 78

Blog AFIB Arrhythmia Download 78

Dr. Smith's ECG Blog

MARCH 15, 2023

My Comment by K EN G RAUER, MD ( 3/15 /2023 ): = I found today’s case highly instructive in highlighting a number of important aspects regarding the presentation and initial treatment of a patient who presents to the ED with new AFib. Baseline bradycardia in endurance athletes limits the use of ß-blockers.

Atrial Fibrillation 52

Atrial Fibrillation AFIB Arrhythmia Exercise 52

Dr. Smith's ECG Blog

DECEMBER 24, 2023

And superimposed subendocardial ischemia pattern, of course. Before continuing flecainide, he had me get on a treadmill at full dose and at full exercise (18 minutes) and measured the QRS to be certain that the QRS did not lengthen at all. She was otherwise very stable during this rhythm. Coincidence?).

Atrial Flutter 126

Atrial Flutter Blog Aortic Aortic valve 126

Dr. Paddy Barrett

DECEMBER 5, 2023

After six weeks, there was no difference in angina symptoms or exercise capacity between these two groups. Subscribe now 1 ISCHEMIA Research Group. NEJM November 11, 2023 Most importantly, patients were unaware if they had received a stent during their procedure. This is all a question of symptoms and quality of life.

Stents 59

Stents Stent Angina Heart attacks 59

All About Cardiovascular System and Disorders

OCTOBER 26, 2023

Brugada Syndrome: Diagnosis and Risk Stratification Hello friends, this is the modified version of my talk at Indian Heart Rhythm Society Conference, New Delhi, 2023, on Brugada Syndrome. Hope you will enjoy this session. These are the conditions which have to be considered or excluded as they can sometimes manifest Brugada pattern on ECG.

Sudden Cardiac Death 52

Sudden Cardiac Death Atrial Fibrillation Electrophysiology Arrhythmia 52

Dr. Smith's ECG Blog

JANUARY 9, 2023

Sent by anonymous, written by Pendell Meyers A male in his teens presented with complaints of chest discomfort and dyspnea beginning while exercising but without obvious injury. He immediately stopped exercising and symptoms started to improve. A missed OMI like this can be devastating. = Today’s sad case is one for medical review.

Chest Pain 52

Chest Pain Aneurysm STEMI Thrombosis 52

Ken Grauer, MD

OCTOBER 4, 2024

ETT ( E xercise T readmill T est ) — to see what happens to this patient's heart rate and how he handles progressively increasing levels of exercise. ETT — excellent level of activity and heart rate response to exercise. No evidence of ischemia. Negative family history for sudden death or arrhythmia. Echo — completely normal.

Blog 100

Blog Bradycardia Arrhythmia Pacemaker 100

Dr. Smith's ECG Blog

FEBRUARY 6, 2025

Previously healthy, taking no medication and exercising regularly. No anginal symptoms asymptomatic during physical exercise. That said there were no clinical symptoms or ECG findings suggestive of ongoing ischemia. Below in Figure-1 is this patient's admission ECG. How will you manage this patient? or is wider than 130 msec.,

Tachycardia 72

Tachycardia Arrhythmia Ablation Atrial Flutter 72