Remove Atrial Flutter Remove Electrocardiogram Remove Ischemia
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A man in his 70s with acute chest pain and paced rhythm.

Dr. Smith's ECG Blog

LAFB, atrial flutter, anterolateral STEMI(+) OMI. EKG shown here: LAFB with no clear signs of OMI or ischemia. At 20 minutes from initial ECG, the patient's native rhythm spontaneously usurped the rhythm from the pacemaker: No knowledge or guidelines needed to see the OMI findings now! No labs were performed.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Abnormal Electrocardiogram (ECG): Defined (San Fran syncope rule) as any new changes when compared to the last ECG or presence of non-sinus rhythm. Evidence of acute ischemia (may be subtle) vii. Electrocardiogram-based risk stratification was useful in guiding the use of specialized cardiovascular tests. __ 9) François P.