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Simultaneous Takotsubo syndrome and spontaneous coronary artery dissection: a case report

The British Journal of Cardiology

The electrocardiogram (ECG) revealed T-wave inversions on precordial leads. Transthoracic echocardiogram (TTE) findings were consistent with Takotsubo syndrome, accompanied by mild left ventricular dysfunction. Her blood analyses demonstrated elevation of myocardial necrosis markers (peak of troponin I of 3.4

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What if your system adopted the recommendation that a computer "normal" ECG need not be shown to the doctor?

Dr. Smith's ECG Blog

Many systems now refrain from showing computer "normal" ECGs to the busy emergency physicians at triage because of very poorly conceived articles that say that if the computer algorithm says "normal," the emergency physician should not be bothered. Formal echocardiogram: Systolic function is at the lower limits of normal.

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Cardiac arrest: even after the angiogram, the diagnosis is not always clear

Dr. Smith's ECG Blog

Here is an article I wrote: Updates on the ECG in ACS. An echocardiogram on day 3 showed no wall motion abnormality (but of course, these can resolved with reperfusion, and the more time it has to resolve from "stunning", the more likely it is to be resolved). Updates on the Electrocardiogram in Acute Coronary Syndromes.

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Why we need continuous 12-lead ST segment monitoring in Wellens' syndrome

Dr. Smith's ECG Blog

Here is the classic article on continuous 12-lead monitoring (in full text) showing that the ECG is a much more reliable indicator of re-occlusion than are symptoms. Here is another classic article. It is well documented with continuous 12-lead monitoring that acute re-occlusion is frequently asymptomatic. Patel DJ, et al.

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Top 10 Cardiac Diagnosis Trends in 2024

GEMMS

In this article, we will explore the top 10 trends shaping the future of cardiovascular medicine, highlighting the innovative technologies and approaches that are revolutionizing the field. Traditional tools like stethoscopes, blood pressure gauges, and electrocardiograms (ECG) are fundamental for standard diagnostic practices.

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This ECG was interpreted as completely NORMAL by the computer: What about it is THE critical finding??

Dr. Smith's ECG Blog

Formal Echocardiogram: The estimated left ventricular ejection fraction is 58 %. Regional wall motion abnormality-distal septum anterior and apex Today, shortly after this case presented, I received in my inbasket from Journal Feed this article which promotes the idea that "normal" ECGs by computer do not need to be overread by a physician.

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Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

The article is edited by Smith. A formal echocardiogram was completed the next day and again showed a normal ejection fraction without any focal wall motion abnormalities to suggest CAD. Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. This was submitted by Alexandra Schick.