Dr. Smith's ECG Blog
JULY 5, 2024
A fully upright P-wave is typical atrial activity of atrial flutter as seen in V1. See these example cases of upright P-waves: Case Continued Thus, I was all but certain that this was atrial flutter. Several hours later, this was the effect: NT pro-BNP elevated to 7000 Furosemide was also given.
Dr. Smith's ECG Blog
MARCH 28, 2024
male with pertinent past medical history including Atrial fibrillation, atrial flutter, cardiomyopathy, Pulmonary Embolism, and hypertension presented to the Emergency Department via ambulance for respiratory distress and tachycardia. Bedside ultrasound showed volume depletion and no pulmonary edema.
Dr. Smith's ECG Blog
AUGUST 3, 2018
Here was his prehospital ECG, which I viewed immediately while the resident performed cardiac ultrasound: What do you think? Here is the cardiac ultrasound which the resident performed as I viewed the ECG: This shows a huge pericardial effusion. Leads II and aVF appear to have flutter waves. Is is sinus? I could not see P-waves.
Dr. Smith's ECG Blog
JUNE 27, 2021
A bedside ultrasound was done, with dozens of clips, and was even done with Speckle Tracking. 2 months later, he presented in pulmonary edema with atrial flutter and formal echo had EF 20% Why did this happen? There was no cough or fever, the CXR looks like pulmonary edema, the ultrasound showed classic pulmonary edema B lines.
Dr. Smith's ECG Blog
MARCH 6, 2020
A bedside POC cardiac ultrasound was done: Findings: Decreased left ventricular systolic function. There is atrial activity before every QRS, but that activity has negative polarity, so it is not sinus rhythm. The other atrial flutter types are: 1. The patient was given furosemide and admitted to the hospital.
Dr. Smith's ECG Blog
APRIL 8, 2015
Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. Good History and Physical exam, including a.
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