Remove Arrhythmia Remove Cardiac Arrest Remove ICU
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What is this ECG finding? Do you understand it before you hear the clinical context?

Dr. Smith's ECG Blog

His temperature was brought back to normal over time in the ICU. C), with Cardiac Echo -- A Pathognomonic ECG. Sci 5[4] 268-270, 2015 ) both highlight a likely association between acute development of ischemic J waves — and high risk of developing malignant ventricular arrhythmias ( My Comment in the September 23, 2020 post ).

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How terrible can it be to fail to recognize OMI? To whom is OMI Obvious or Not Obvious?

Dr. Smith's ECG Blog

Click here to sign up for Queen of Hearts Access Here is the cardiologist's formal interpretation : "sinus rhythm with marked sinus arrhythmia, left ventricular hypertrophy with repolarization abnormality, and anteroseptal infarct, age undetermined." About 45 minutes after the second EKG, the patient was found in cardiac arrest.

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VF arrest at home, no memory of chest pain. Angiography non-diagnostic. Does this patient need an ICD? You need all the ECGs to know for sure.

Dr. Smith's ECG Blog

Given the presentation, the cardiologist stented the vessel and the patient returned to the ICU for ongoing critical care. This is a critically important determination because of the 2017 AHA/ACC/HRS Guidelines for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death.

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Does this T wave pattern mean anything?

Dr. Smith's ECG Blog

Edited by Bracey, Meyers, Grauer, and Smith A 50-something-year-old female with a history of an unknown personality disorder and alcohol use disorder arrived via EMS following cardiac arrest with return of spontaneous circulation. T-wave alternans and the susceptibility to ventricular arrhythmias. Pacing Clin Electrophysiol.

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A man in his 60s with syncope and ST depression. What does the ECG mean?

Dr. Smith's ECG Blog

The patient was admitted to the ICU for close monitoring and electrolyte repletion and had an uneventful hospital course. Polymorphic Ventricular Tachycardia Long QT Syndrome with Continuously Recurrent Polymorphic VT: Management Cardiac Arrest. See these other relevant cases: What are these bizarre bigeminal PVCs?? Is it STEMI?

Ischemia 120
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20-something with huge verapamil overdose and cardiogenic shock

Dr. Smith's ECG Blog

He was admitted to the ICU and was unstable, in shock, overnight. I focus my comments purely on a few sophisticated concepts in arrhythmia recognition — fully aware that specific rhythm disorders with calcium channel toxicity need not be treated per se, beyond providing cardiovascular support. mEq/L and total calcium of 14.7