Dr. Smith's ECG Blog

APRIL 12, 2013

Here is his ED ECG: There is sinus tachycardia. The amount of ST elevation and depression is slightly less than on the ECG above, but there is also no tachycardia, which tends to exaggerate ST deviation. First, to be called "aneurysm," the MI must be at least a couple weeks old, so this case does not strictly apply.

STEMI 52

STEMI Pulmonary Stents Stent 52

Dr. Smith's ECG Blog

JANUARY 27, 2024

Smith : Old inferior MI with persistent ST Elevation ("inferior aneurysm") has well-formed Q-waves. In inferior aneurysm, we usually see QR-waves, whereas for anterior aneurysm, we see QS-waves (no R- or r-wave at all!). The patient had a history of ‘NSTEMI’ a decade prior, with an RCA stent.

Chest Pain 117

Chest Pain STEMI Aneurysm Stents 117

All About Cardiovascular System and Disorders

NOVEMBER 16, 2023

In that study commonest ECG abnormalites were QTc prolongation followed by brady/tachycardia and then ST segment deviations [3]. Sometimes cardiac troponin elevation may accompany ECG changes in aneurysmal subarachnoid hemorrhage. But the number of persons with lobar hemorrhage in that study was only 17%. 2009 Nov;40(11):3478-84.

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Hemorrhage Myocardial Infarction Aneurysm Electrocardiogram 52

Dr. Smith's ECG Blog

OCTOBER 17, 2024

Peak troponin was a massive 500,000 ng/L, echo showed EF reduced to 20%, and follow up ECG showed LV aneurysm morphology with anterior Q wave and persisting ST elevation. There is sinus tachycardia at ~100/minute. In today's case — the sinus tachycardia may have been a harbinger of this patient's ultimate demise. As per Dr.

Chest Pain 73

Chest Pain STEMI Pulmonary Embolism 73

Dr. Smith's ECG Blog

JANUARY 28, 2023

Prior ECG available on file from 2 months before: We do not know the clinical events happening during this ECG, but there is borderline tachycardia, PVCs, and likely some evidence of subendocardial ischemia with small STDs maximal in V5-6/II, slight reciprocal STE in aVR. QS waves from V2-V5 consistent with LV aneurysm morphology.

STEMI 52

STEMI Chest Pain Stents Stent 52

Dr. Smith's ECG Blog

OCTOBER 15, 2024

The EKG is diagnostic of acute inferior, posterior, and lateral OMI superimposed on “LV aneurysm” morphology. He had multiple episodes of bradycardia and nonsustained ventricular tachycardia. Patient 2 , EKG 1: What do you think? Patient 1 ’s EKG was obtained first, so it was interpreted first. It was stented.

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Chest Pain STEMI Echocardiogram Stents 116

Dr. Smith's ECG Blog

MARCH 11, 2019

The only time you see this without ischemia is when there is an abnormal QRS, such as LVH, LBBB, LV aneurysm (old MI with persistent STE) or WPW." In such cases, it is common for tachycardia to exaggerate the ST Elevation And, in fact, there was no new acute MI at this visit - troponins did not rise again. Troponin I greater than 1.0

Chest Pain 52

Chest Pain Ischemia Aneurysm Myocardial Infarction 52

Dr. Smith's ECG Blog

APRIL 17, 2023

In addition to sinus tachycardia, the only abnormalities listed by the computer were "low voltage, precordial leads" and "anteroseptal infarct, old.Q Repeat ECG at 1624 (shortly before cath): QS waves now present in V2-V3, with slight STE, showing the pattern of left ventricular aneurysm morphology. Case 2: What do you think?

Chest Pain 52

Chest Pain STEMI Document Ischemia 52

Circulation

NOVEMBER 11, 2024

There was near transmural late gadolinium enhancement (LGE) of the aneurysm and an associated 7 mm of MAD with posterior mitral valve prolapse (MVP). The scar and aneurysm that develop can serve as substrate for reentrant VA. Further work up included cardiac magnetic resonance which identified a 4 x 1.8

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Bicuspid/Mitral Aneurysm Sudden Cardiac Death Tachycardia 40

EMS 12-Lead

APRIL 28, 2022

Initial vital signs include: NIBP 99/58 HR 150-160 (trend) RR 10 (spontaneous, but shallow) SpO2 86 (RA) BBS CTA The initial rhythm strip is attached: Figure 1 There is a wide complex tachycardia of varying morphology, amplitude, and R-R cycle length. Chapter 10: Recurrent Ventricular Tachycardia (pg. 2] Viskin, S., 3] Murphy, M.

Tachycardia 52

Tachycardia AFIB Arrhythmia Coronary Artery Bypass Graft 52

European Journal of Heart Failure

NOVEMBER 14, 2023

Significant LGE at CMR; LVEF <50%; abnormal blood pressure response during exercise test; LV apical aneurysm; high-risk genotype. Syncope, LGE on CMR, inducible sustained VT at PES, pathogenic mutations in LMNA, PLN, FLNC, and RBM20. Syncope, LGE on CMR, inducible sustained VT at PES, pathogenic mutations in LMNA, PLN, FLNC, and RBM20.

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Sudden Cardiac Death Cardiomyopathy Risk Factors Heart Failure 40

Dr. Smith's ECG Blog

MARCH 3, 2025

The status of the patients chest pain at this time is unknown : EKG 1, 1300: There is sinus tachycardia and artifact of low and high frequency. There are no Q-waves to suggest old inferior MI, or inferior aneurysm as the etiology of the ST Elevation. She arrived to the ED with a nonrebreather mask. An EKG was immediately recorded.

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Tachycardia Pulmonary Chest Pain Stenosis 73

Dr. Smith's ECG Blog

APRIL 8, 2015

Look for Vascular Etiology -- think of these while doing H and P: --Bleeding: ruptured AAA, GI bleed, ruptured ectopic pregnancy, other spontaneous bleed such as mesenteric aneurysms. Most physicians will automatically be worried about these symptoms. The tracings were considered abnormal in the following cases: 1.

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Arrhythmia Outcomes Risk Factors Chest Pain 52