Remove Atrial Fibrillation Remove Bradycardia Remove Chest Pain
article thumbnail

Chest pain and shock: Is there a right ventricular OMI on this ECG? And should he undergo trancutaneous pacing?

Dr. Smith's ECG Blog

A 50-something man presented in shock with severe chest pain. Here is his ED ECG: There is bradycardia with a junctional escape. What is the atrial activity? Or is it atrial fibrillation with complete AV block and junctional escape? His prehospital ECG was diagnostic of inferior posterior OMI.

article thumbnail

What is strange about this paroxysmal atrial fibrillation in an otherwise healthy patient? And what happened after giving ibutilide?

Dr. Smith's ECG Blog

Her Apple Watch suddenly told her that she is in atrial fibrillation. She did notice something slightly wrong subjectively, but had no palpitations, chest pain, or SOB, or any other symptom. Facilitating Transthoracic Cardioversion of Atrial Fibrillation with Ibutilide Pretreatment. So it is safe.

article thumbnail

A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

ECG of pneumopericardium and probable myocardial contusion shows typical pericarditis Male in 30's, 2 days after Motor Vehicle Collsion, complains of Chest Pain and Dyspnea Head On Motor Vehicle Collision. Gunshot wound to the chest with ST Elevation Would your radiologist make this diagnosis, or should you record an ECG in trauma?

article thumbnail

See what happens when a left main thrombus evolves from subtotal occlusion to total occlusion.

Dr. Smith's ECG Blog

He woke up alert and with chest pain which he also had experienced intermittently over the previous few days. The history in today's case with sudden loss of consciousness followed by chest pain is very suggestive of ACS and type I ischemia as the cause of the ECG changes. The rhythm now is atrial fibrillation.

article thumbnail

Why is ECG machine use? What diseases can EKG monitor detect?

Wellnest

If you experience any symptoms, such as chest pain, dizziness, unusual tiredness or fatigue, shortness of breath, or irregular heartbeat, your doctor would want you to go for an ECG test to find out the underlying cause. Atrial Fibrillation Atrial fibrillation causes irregular heartbeat, and the heart's normal blood supply is affected.

article thumbnail

Should we activate the cath lab? A Quiz on 5 Cases.

Dr. Smith's ECG Blog

All of the patients presented with chest pain , and they are all in triage. Another frequent feature of hypothermia is atrial fibrillation (not seen in this case) Core temperature of this patient was 29,5 Celsius. Which, if any, of these patients has OMI, with myocardium at risk and need for emergent PCI?

Ischemia 123
article thumbnail

QT Correction Formulas Compared to The Rule of Thumb ("Half the RR")

Dr. Smith's ECG Blog

The rule of thumb is less accurate, and the risk is higher because a long QT in the presence of bradycardia ("pause dependent" Torsades) predisposes to Torsades. 6) Use a different rule of thumb for bradycardia : Manually approximate both the QT and the RR interval. 3) At heart rates below 60, far more caution is due. Musat DL et al.