Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

While on telemetry monitoring he suffered cardiac arrest and was resuscitated. What ECG finding may have contributed to (or precipitated) the cardiac arrest? A coronary angiogram was done that did not show significant coronary artery disease. There are no clear signs of OMI. There is a prolonged QTc.

Cardiac Arrest 68

Cardiac Arrest Cardiomyopathy Arrhythmia Atrial Fibrillation 68

Dr. Smith's ECG Blog

JUNE 5, 2024

IMPRESSION: The finding of sinus bradycardia with 1st-degree AV block + marked sinus arrhythmia + the change in PR interval from beat #5-to-beat #6 — suggests a form of vagotonic block ( See My Comment in the October 9, 2020 post in Dr. Smith's ECG Blog ). Initial high sensitivity troponin I returned at 6ng/L (normal 0.20

Chest Pain 122

Chest Pain Blog Cardiac Arrest Cardiomyopathy 122

Dr. Smith's ECG Blog

JANUARY 2, 2025

See this post: How a pause can cause cardiac arrest 2. Finally, do a coronary angiogram Possible alternative to pacing is to give a beta-1 agonist to increase heart rate. In this specific case, Left Bundle Branch (LBB) area pacing was pursued to achieve cardiac resynchronization. Place temporary pacemaker 3.

Tachycardia 116

Tachycardia Cardiomyopathy Blog Bradycardia 116

Frontiers in Cardiovascular Medicine

JUNE 3, 2024

During the intravenous lacosamide infusion, the patient developed sudden cardiac arrest caused by ventricular arrhythmias necessitating resuscitation. Of note, the patient had a family history of sudden cardiac death.

Sudden Cardiac Death 52

Sudden Cardiac Death Coronary Angiogram Cardiac Arrest Laboratory 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

We investigated the incidence of an acutely occluded coronary in patients presenting with STE-aVR with multi-lead ST depression. All electrocardiograms (ECGs) and coronary angiograms were blindly analyzed by experienced cardiologists. Results Emergent angiography was performed in 80% (79/99) of patients.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52