2025 Bradycardia Ischemia 
Dr. Smith's ECG Blog
APRIL 6, 2025
His rhythm on telemetry seemed to be sinus bradycardia vs junctional rhythm. There is Transmural ischemia of Occlusion MI. Spectral CT This spectral CT image really highlights the dense transmural ischemia of the posterior wall. Here you can also see that there is dense ischemia of the RV. What do you think?
Dr. Smith's ECG Blog
MARCH 19, 2025
Despite the baseline artifact theres sinus bradycardia, convex ST elevation in III, reciprocal ST depression in aVL and possible anterior ST depression indicating inferoposterior OMI. Still, an ECG was obtained at 0649hrs: (Digitized by PM Cardio) McLaren: The patient has a high pretest probability based on age, risk factors and symptoms.
Dr. Smith's ECG Blog
FEBRUARY 20, 2025
Two more Cases of Takotsubo Stress Cardiomyopathy == MY Comment , by K EN G RAUER, MD ( 2/20 /2025 ): == Today's case provides an insightful example of how the History even more than the ECG made the diagnosis. Agitation, Confusion, and Unusual Wide Complex Tachycardia. What is it, why did it occur, and how to treat?
Dr. Smith's ECG Blog
FEBRUARY 6, 2025
That said there were no clinical symptoms or ECG findings suggestive of ongoing ischemia. Below in Figure-5 is a 10-minute continuous lead II recording on oral Flecainide, now showing sinus bradycardia without a single PVC! You have given IV MgSO4 a fast acting -blocker and IV amiodarone bolus and infusion. No PVCs are seen.
Dr. Smith's ECG Blog
MARCH 8, 2025
Within ten minutes, she developed bradycardia, hypotension, and ST changes on monitor. Bradycardia and heart block are very common in RCA OMI. It is possible there is microvascular dysfunction producing residual transmural ischemia. He told the patient this horrible news. The other point in favor of RCA is junctional rhythm.
Expert insights. Personalized for you.
111 
Let's personalize your content