Remove Atrial Fibrillation Remove Bradycardia Remove Pericarditis
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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. Atrial fibrillation is also a predictor of worse outcomes in this case (Alborzi). ST depression. Myocardial Contusion?

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

Dr. Smith's ECG Blog

Another frequent feature of hypothermia is atrial fibrillation (not seen in this case) Core temperature of this patient was 29,5 Celsius. Prominent J waves of this morphology thus are called Osborn waves. Severe hypothermia not uncommonly has accompanying T waves inversions. Troponins were negative in serial blood tests.

Ischemia 122
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Unconscious + STEMI criteria: activate the cath lab?

Dr. Smith's ECG Blog

This ECG shows a sinus bradycardia with a normal conduction pattern (normal PR, normal QRS, and normal QTc), normal axis, normal R-wave progression, normal voltages. Hypothermia can also produce bradycardia and J waves, with a pseudo-STEMI pattern. J-wave-associated ventricular fibrillation in a patient with a subarachnoid haemorrhage.

STEMI 52