Dr. Smith's ECG Blog

JUNE 27, 2024

While awaiting admission to cardiology service, the patient had the following rhythm for approximately ten seconds on the monitor (representative image, courtesy of “ECG Educator Blog”): The patient is in ventricular standstill with no conducted P-waves and no underlying junctional or ventricular escape rhythm kicking in.

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Blog Pacemaker Bradycardia Tachycardia 120

Dr. Smith's ECG Blog

MAY 26, 2023

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. It's always rewarding and mutually educational to discuss interesting aspects of arrhythmia interpretation.

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Cardiogenic Shock Arrhythmia Blog Education 98

Ken Grauer, MD

JULY 4, 2024

MY Thoughts on Today's CASE: As important as providing a brief, relevant history is for optimal clinical ECG interpretation — Cases like the one today often prove even more educational, because we are not given any history ( and therefore need to deduce the most likely clinical setting to explain the ECG in front of us ).

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Blog STEMI Education Arrhythmia 154

Cardiology Update

JANUARY 2, 2024

European Heart Rhythm Association (EHRA) Congress Date: April 7-9, 2024 Location: Berlin, Germany and online Overview: The yearly gathering of the European Heart Rhythm Association (EHRA) unites scientists, healthcare professionals, and other stakeholders engaged in the global management of arrhythmias.

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Heart Failure Atherosclerosis Cardiovascular Imaging Non-Invasive Cardiology 111

Circulation

NOVEMBER 11, 2024

We created a resident-driven, case-based reference for residents to serve as a companion to traditional CV medicine educational resources.Methods:We surveyed residents, fellows, and cardiology attendings to identify topics within CV care for which residents are responsible.

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Cardiogenic Shock Arrhythmia Article Ischemia 40

DAIC

MAY 17, 2024

The EP-COT Trial: Impact of Emergent Physician Notifications from MCOT on Patient Outcomes While ambulatory cardiac monitors are frequently used to diagnose arrhythmias, their impact on clinical decision-making has not been extensively studied.

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Heart Rhythm Technology Arrhythmia Outcomes 52

Dr. Smith's ECG Blog

JULY 5, 2018

I called Cardiology and they rapidly got in touch with the inpatient team, cancelled the discharge, and educated the inpatient team appropriately. during which sinus bradycardia and arrhythmia are seen but not to a degree that produces symptoms. AFib ( Atrial Fibrillation ) is the most common sustained cardiac arrhythmia.

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Atrial Fibrillation AFIB Bradycardia Pacemaker 52

Dr. Smith's ECG Blog

MAY 1, 2023

Inferolateral ST elevation, vomiting, and elevated troponin == MY Comment , by K EN G RAUER, MD ( 5/1 /2023 ): == In my experience — Atrial Flutter ( AFlutter ) is by far, the most commonly overlooked cardiac arrhythmia. The reason for this is easy to understand — atrial activity is often not well seen in many instances of this arrhythmia.

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Atrial Flutter Tachycardia Arrhythmia Blog 52

Dr. Smith's ECG Blog

JULY 11, 2024

At this point, there was no improvement in LV function and he was out of the convalescent phase of his MI, so the decision was made to install an ICD for arrhythmia prophylaxis. An echocardiogram showed an EF of 20-25%. One month after ICD implantation, an EKG was taken: Notably, the T wave inversions are now resolved.

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Outcomes Stenosis Outpatient Echocardiogram 112

BoardVitals - Cardiovascular

MAY 15, 2022

The Cardiology MOC exam covers the following subjects : Arrhythmias 15% Coronary Artery Disease 21.5% Test questions primarily focus on patient scenarios, while some require interpretation of visual materials. What does the exam cover?

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Certification Congenital Heart Disease Coronary Artery Disease Cardiovascular Disease 52

Dr. Smith's ECG Blog

OCTOBER 28, 2022

He has a pacemaker for an unknown arrhythmia reason, and has a hx of a PE but is not anti-coagulated currently. The ER physician was pretty rudeto me for calling an activation, but wouldn’t educate me on what I may have been misinterpreting. It started while walking, and began to decrease at rest but never fully resolved.

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Chest Pain Myocardial Infarction Pacemaker Cardiogenic Shock 52

Dr. Smith's ECG Blog

JANUARY 9, 2024

The patient also has a history of AFib and HFmrEF ( = H eart F ailure with M inimally- R educed E jection F raction ). the most commonly overlooked arrhythmia ( See My Comment at the bottom of the page in the May 1, 2023 — and the November 12, 2019 post , among others ). Why was it Wrong to Think the Rhythm was AFlutter?

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Tachycardia Electrophysiology Atrial Flutter Ischemia 119

Conquering CHD

JUNE 20, 2023

POTENTIAL SIDE EFFECTS : It is important to note that there may be possible risks associated with using antiarrhythmics in children with CHD, ironically including an increased risk of arrhythmia. They can also interact with other medications, such as angiotensin II receptor blockers and antibiotics.

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Congenital Heart Disease Congenital Heart Disease ACE Inhibitor 52

Dr. Smith's ECG Blog

DECEMBER 23, 2019

Although unfortunately there is no long lead II rhythm strip — RED arrows in ECG #2 highlight that sinus P waves ( the rhythm is sinus bradycardia and arrhythmia ) continue throughout the tracing , allowing us to establish with certainty the 7 sinus-conducted beats vs the 2 PVCs in this tracing.

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Tachycardia Atrial Flutter Cardiomyopathy Atrial Fibrillation 52

Dr. Smith's ECG Blog

MARCH 8, 2019

The rhythm in ECG #1 is sinus arrhythmia. For clarity — I show in Figure-1 the i nitial E CG obtained in the ED ( = E CG # 1 ) — together with the p rehospital E CG that I have pieced together ( = E CG # 2 ). PR, QRS and QT intervals are normal. The frontal plane axis is about +30 degrees. There is no chamber enlargement.

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Chest Pain STEMI Plaque Ischemia 52

Dr. Smith's ECG Blog

SEPTEMBER 30, 2019

No arrhythmias occurred en route. The case was discussed with the cardiology fellow at the nearest tertiary care center and arrangements were made to fly the patient via HEMS. He was expected to arrive at the tertiary care center within 60 minutes of the call. He was loaded with aspirin, ticagrelor, and heparin.

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DAIC

MAY 18, 2024

Atrial fibrillation is the most common type of arrhythmia, and by 2050, up to 16 million Americans are projected to have AF 1. The Heart Rhythm Society is the international leader in science, education, and advocacy for cardiac arrhythmia professionals and patients and is the primary information resource on heart rhythm disorders.

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Heart Rhythm Atrial Fibrillation Ablation Quality of Life 105

MIBHS

FEBRUARY 28, 2025

Arrhythmias: Genetic mutations can also predispose individuals to irregular heart rhythms, such as atrial fibrillation or long QT syndrome, which may increase the risk of stroke or sudden cardiac arrest. Cardiomyopathies: These diseases affect the heart muscle, impairing its ability to pump blood effectively.

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Cardiometabolic Health Congress

AUGUST 8, 2024

Implementation strategy: Utilize decision aids and patient education materials to facilitate informed discussions about treatment options, risks, and benefits. Open Communication Encouraging open, honest, and regular communication between patients and healthcare providers is essential. Key contributions: Advanced cardiac imaging (e.g.,

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Education Cardiovascular Disease Diabetes Kidney Disease 59

ADN Center of Excellence

SEPTEMBER 28, 2023

Their expertise covers a wide range of cardiovascular conditions, including coronary artery disease, heart failure, arrhythmias, and congenital heart defects. On World Heart Day, cardiologists can make a significant impact by: Spreading Awareness: They can educate the public about the risk factors and warning signs of heart diseases.

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COVID-19 Heart Disease Education Interventional Cardiology 52

Cardiometabolic Health Congress

SEPTEMBER 13, 2024

ILRs detected various arrhythmias, with ventricular arrhythmias linked to spontaneous type 1 ECGs and fever. Bradyarrhythmias and atrial arrhythmias, common even in young patients, caused arrhythmic syncope in 60% of cases. ILRs may benefit BrS patients with unexplained syncope.

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Hypertension Cardiovascular Disease Bicuspid/Mitral Arrhythmia 59

Circulation: Arrhythmia and Electrophysiology

NOVEMBER 29, 2023

Circulation: Arrhythmia and Electrophysiology, Ahead of Print. Older age, male sex, postcollege education, and obesity were preferentially associated with persistent AF and represent a high-risk AF subset for population-based intervention. Yet, little is known about risk factors that predispose to persistent AF on initial presentation.

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Risk Factors Atrial Fibrillation Education Cardiovascular Disease 40

EMS 12-Lead

APRIL 28, 2022

TRUE — We ALL know that ELECTRICITY was needed to treat this patient — but I still think it insightful (and educational) to work through the process of solving this rhythm. It was postulated that such an ECG feature is associated with advanced myocardial dysfunction, to include left ventricular aneurysm, as the cause of arrhythmia. [7]

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Tachycardia AFIB Arrhythmia Coronary Artery Bypass Graft 52

DAIC

JULY 10, 2024

In one study, AI enabled multi-class arrhythmia detection with accuracies above 99% in controlled test datasets. Clinical leadership should participate in this charge, educating teams on best practices for interpreting AI-generated data and integrating it into patient care.

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Technology Best Practices AFIB Patient Care 106

Stroke Journal

FEBRUARY 1, 2024

The significance of underdosing or overdosing of TNK may not achieve the desired patient outcome and may increase the risk of complications such as hemorrhage, anaphylaxis, thromboembolism, arrhythmia, intracranial hemorrhage, extended hospitalizations, and death.

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Myocardial Infarction Stroke Strokes Nursing 40

American College of Cardiology

FEBRUARY 1, 2025

The simple test revealed Wolff-Parkinson-White syndrome, an easily diagnosable and treatable arrhythmia. "I These have ranged from heart attacks, cardio-obstetrics, breast cancer, prevention and arrhythmias.8-13 An intentional educational program is needed to prepare to establish a center.

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Cardiovascular Disease Education Coronary Artery Disease Risk Factors 45

Circulation

FEBRUARY 13, 2025

Using the nationwide registries, we obtained information on admissions, prescriptions, educational length, and occupational status for both the AAS users and controls.

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Coronary Artery Bypass Graft Cardiovascular Disease Cardiac Arrest Myocardial Infarction 84

Dr. Smith's ECG Blog

APRIL 8, 2015

I have used this to educate our residents, and I think they find it useful. Finally, much of this correlates well with The new Canadian Syncope Arrhythmia Risk Score , just published in 2016, results of which are given below in the Annotated Bibliography. It is NOT a structured review or meta-analysis. Thiruganasambandamoorthy, V.,

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Arrhythmia Outcomes Risk Factors Chest Pain 52

Cardiometabolic Health Congress

JANUARY 2, 2025

Heart rate decrease criteria: >20% decrease, HR <100 bpm, or arrhythmia cessation. Keep following the Cardiometabolic Health Congress (CMHC) for continuous education and engagement with the latest clinical research to advance clinical practices and patient care. Heart rate reduction within 10 minutes : Landiolol: 40%-90%.

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Coronary Artery Disease Stents Stent Innovation 52