Dr. Smith's ECG Blog
MARCH 7, 2024
A young man presented with a gunshot wound to the right chest, with hemo-pneumothorax and hemorrhagic shock. This does NOT seem irregularly irregular enough for AFib … Instead — there is almost “group beating” with “Wenckebach periodicity”. He got a chest tube and intubation and massive transfusion and stabilized.
CardiacWire
JANUARY 24, 2025
Fully published results from Athos Therapeutics AZALEA-TIMI 71 trial for its novel Factor XI inhibitor abelacimab, confirming the drugs lower bleeding risks, but leaving researchers uncertain about its ability to prevent stroke in AFib patients. year follow-up.
EMS 12-Lead
AUGUST 25, 2024
MRI Brain demonstrated Left MCA acute/subacute infarct, MCA/PCA watershed, and no hemorrhagic transformation. And since common things are common, the statistical probability favors Atrial Fibrillation (AFib) as the culprit. AFib can come and go. The technical term here is paroxysmal AFib (PAF). But the ECG is Sinus!
Stroke: Vascular and Interventional Neurology
NOVEMBER 9, 2023
IntroductionUp to 18% of spontaneous intracerebral hemorrhages are cryptogenic despite a thorough workup, usually noted in a lobar location. CT revealed a left parasagittal hemorrhage. The patient was diagnosed with ACA territory stroke complicated by PH2‐type hemorrhagic conversion. CT revealed a right parasagittal hemorrhage.
Dr. Smith's ECG Blog
FEBRUARY 2, 2024
Osborn waves have been reported with hypercalcemia, brain injury, subarachnoid hemorrhage, Brugada syndrome, cardiac arrest from VFib — and — severe, acute ischemia resulting in acute MI ( See My Comment in the November 22, 2019 post on Dr. Smith’s Blog ). Rituparna et al — as well as Chauhan and Brahma ( Int.
HeartRhythm
APRIL 30, 2024
Percutaneous Left atrial appendage closure (pLAAC) presents an alternative to anticoagulation (AC) for stroke prophylaxis in atrial fibrillation (Afib) patients with high bleeding risk. pLAAC was associated with lower rates of disabling stroke which was mainly attributed to the reduction of hemorrhagic stroke.
Dr. Smith's ECG Blog
FEBRUARY 6, 2024
Massive Transfusion for Motorcycle Collision with Hemorrhage, Troponin Elevated. Other Arrhythmias ( PACs, PVCs, AFib, Bradycardia and AV conduction disorders — potentially lethal VT/VFib ). : A Child with Blunt Trauma -- See how the ECG can be definite for myocardial contusion, but subtle, and what happens if you miss it.
Expert insights. Personalized for you.
124 
Let's personalize your content