Dr. Smith's ECG Blog

OCTOBER 10, 2022

I sent it to 2 of my ECG nerd colleagues with no clinical information whatsoever, who instantly said: "Looks like afib with subendocardial ischemia and right heart strain pattern." "I Cardiac Ultrasound may be a surprisingly easy way to help make the diagnosis Answer: pulmonary embolism. Now another, with ultrasound.

Cardiac Arrest 52

Cardiac Arrest Chest Pain Embolism Pulmonary 52

DAIC

APRIL 9, 2024

AFib Facts and Impacts Atrial fibrillation is the most common cardiac arrhythmia, affecting 2% of individuals worldwide. Before the procedure, patients should have an electrocardiogram (ECG) and echocardiogram (ultrasound of the heart) to check the heart’s rhythm and function.

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Atrial Fibrillation Ablation Heart Rhythm Blood Clot 105

AMS Cardiology

JUNE 11, 2024

At AMS Cardiology, we offer comprehensive cardiac care including services tailored to the specific needs of seniors such as: Echocardiography: This painless ultrasound uses sound waves to create images of your heart, allowing doctors to assess its structure and function.

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Exercise AFIB Cardiac Rehabilitation Blood Pressure 40

Dr. Sanjay Gupta

DECEMBER 19, 2022

Conditions such as AFib are often said to be associated with stroke as a consequence of cardioembolism. Ultrasound – this is easily available, very portable and usually a very low risk investigation. In terms of imaging, we usually start off with echocardiography (ultrasound assessment of the heart).

Strokes 52

Strokes Stroke Blood Clot AFIB 52

Dr. Smith's ECG Blog

OCTOBER 28, 2023

Further ultrasound showed no B-lines (no pulmonary edema). WPW Cardiac arrhythmias ( especially AFib ). There is very little filling, and thus very poor stroke volume. The heart rate is too fast for this poor filling. Preload must be increased and the heart rate slowed in order to allow more LV filling.

Preserved Ejection Fraction 57

Preserved Ejection Fraction Sudden Cardiac Death Chest Pain Heart Failure 57

Dr. Smith's ECG Blog

JANUARY 15, 2024

A bedside ultrasound should be done to assess volume and other etiologies of tachycardia, but if no cause of type 2 MI is found, the cath lab should be activated NOW. The April 6, 2023 post — excessive baseline artifact misdiagnosed as AFib ( instead of sinus rhythm with AV Wenckebach — as in Figure-4 in this post ).

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Chest Pain Blog Arrhythmia Critical Care 64

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

With the history of Afib, CTA abdomen was ordered to r/o mesenteric ischemia vs ischemic colitis vs small bowel obstruction. Widespread ST-depression with reciprocal aVR ST-elevation can be cause by: Heart rate related: tachyarrhythmia (e.g., A emergent cardiology consult can be helpful for equivocal cases.

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Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

MARCH 6, 2020

A bedside POC cardiac ultrasound was done: Findings: Decreased left ventricular systolic function. A cutoff of 1200 pg/ml for patients with a normal eGFR is very specific for heart failure. A diagnostic NT-proBNP cutoff of 900 pg/mL has been suggested in adults 50-75 years of age in absence of renal failure."

Heart Failure 52

Heart Failure Tachycardia Atrial Flutter Cardiomyopathy 52

Dr. Smith's ECG Blog

NOVEMBER 21, 2024

Cardiac Ultrasound may be a surprisingly easy way to help make the diagnosis Answer: pulmonary embolism. Now another, with ultrasound. Submitted by a Med Student, with Great Commentary on Bias! Chest pain, SOB, Precordial T-wave inversions, and positive troponin. What is the Diagnosis? This is a quiz. The ECG is nearly pathognomonic.

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Chest Pain Embolism Pulmonary Tachycardia 112