Dr. Smith's ECG Blog

JULY 22, 2023

Formal echocardiogram showed normal EF, no wall motion abnormalities, no pericardial effusion. Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. The patient proceeded to cath where all coronaries were described as normal with no evidence of any CAD, spasm, or any other abnormality.

Chest Pain 91

Chest Pain Heart Rhythm Sudden Cardiac Death Dysrhythmia 91

Dr. Smith's ECG Blog

JANUARY 1, 2013

Seventh , an immediate echocardiogram can make the distinction. Sixth , placement of posterior leads (take leads V4-V6 and place them at the level of the tip of the scapula, with V4 placed at the posterior axillary line ("V7"), V6 at paraspinal area ("V9"), and V5 ("V8") between them. At lease 0.5 Kligfield P, Gettes LS, Bailey JJ, et al.

STEMI 52

STEMI Ischemia Chest Pain Myocardial Infarction 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

See this case: what do you think the echocardiogram shows in this case? New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. All electrocardiograms (ECGs) and coronary angiograms were blindly analyzed by experienced cardiologists.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

GEMMS

MAY 22, 2024

Traditional tools like stethoscopes, blood pressure gauges, and electrocardiograms (ECG) are fundamental for standard diagnostic practices. This transformation extends to the use of machine learning (ML) algorithms developed by startups, which analyze medical imaging data such as ECGs, echocardiograms, and cardiac MRI scans.

Heart Disease 52

Heart Disease Blood Pressure Technology Innovation 52

Dr. Smith's ECG Blog

NOVEMBER 15, 2013

Here is the post PCI ECG: Minimal change Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 --Initial and 3 hours troponin I's were (ng/mL): 0.042, 0.054, 0.056, 0.040, 0.039, 0.037 --20 hour echocardiogram showed no wall motion abnormality. Eur Heart J 2000;21:1464–1472. Patel DJ, et al. Heart 1996;75:222–228.

Chest Pain 52

Chest Pain Thrombosis Myocardial Infarction STEMI 52

Dr. Smith's ECG Blog

SEPTEMBER 30, 2019

You will note that it is essentially an unremarkable electrocardiogram except for some PACS. Unfortunately there is no echocardiogram accessible because the patient checked himself out of the hospital in order to get back to his home state before it could be completed. In the available view, the RCA appears fully occluded.

Chest Pain 52

Chest Pain Pulmonary ACE Inhibitor Pacemaker 52

Dr. Smith's ECG Blog

JANUARY 30, 2019

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. The Troponin I was cycled over time and was 0.353 followed by 0.296. Circulation, 117, 1890–1893.

Heart Rhythm 52

Heart Rhythm Sudden Cardiac Death Arrhythmia STEMI 52

Dr. Smith's ECG Blog

FEBRUARY 4, 2022

Formal Echocardiogram: The estimated left ventricular ejection fraction is 58 %. Emergent cardiac outcomes in patients with normal electrocardiograms in the emergency department. Because it reperfused on its own and because we intervened before it could re-occlude. Left ventricular hypertrophy concentric. Am J Emerg Med. 2021.11.023.

Chest Pain 52

Chest Pain STEMI Article Myocardial Infarction 52

Dr. Smith's ECG Blog

FEBRUARY 6, 2020

Next day, a stress echo was done: The exercise stress echocardiogram is normal. The stress electrocardiogram is non-diagnostic. Normal estimated left ventricular ejection fraction improved with stress. No wall motion abnormality at rest. No wall motion abnormality with stress. The patient did not report angina with stress.

Chest Pain 40

Chest Pain Ischemia Angina Electrocardiogram 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Abnormal Electrocardiogram (ECG): Defined (San Fran syncope rule) as any new changes when compared to the last ECG or presence of non-sinus rhythm. Results : Electrocardiograms (99%), telemetry (95%), cardiac enzymes (95%), and head computed tomography (CT) (63%) were the most frequently obtained tests.

Arrhythmia 52

Arrhythmia Outcomes Risk Factors Chest Pain 52