Remove Aortic Remove Bradycardia Remove Outpatient
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A woman in her 50s with multiple episodes of syncope

Dr. Smith's ECG Blog

EMS reports intermittent sinus tachycardia and bradycardia secondary to some type of heart block during transport. She was discharged with plan for outpatient cardiac MRI for further evalution. Each event is associated with a prodrome of mild substernal CP, SOB, and “brain fog.” Troponins were all negative.

Blog 124
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A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

Hopefully a repeat echocardiogram will be performed outpatient. Other Arrhythmias ( PACs, PVCs, AFib, Bradycardia and AV conduction disorders — potentially lethal VT/VFib ). Systolic function normal by visual assessment only, unable to visualize well for further characterization. 1900: RBBB and LAFB are almost fully resolved.

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Abstract 4134483: How succesfully can we presribe the 'four pillars' of medications for patients with heart failure with reduced LV systolic function?

Circulation

Reasons for not prescibing or discontinuing were: CKD 6, severe aortic stenosis 5, asthma 3, symptomatic bradycardia 5, hypotension 3, type1 diabetes 2, syncope 1, Raynauds 1, patient choice 8 and 6 patients died before all appropriate medications could be initiated.

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See OMI vs. STEMI philosophy in action

Dr. Smith's ECG Blog

He visited an outpatient clinic for it and an echocardiogram and exercise stress test was normal. His first electrocardiogram ( ECG) is given below: --Sinus bradycardia. As his pain was very severe, emergency physicians concerned of aortic dissection and ordered a thoracic CT scan. He has 40 packs-year of smoking history.

STEMI 52