Dr. Smith's ECG Blog

SEPTEMBER 11, 2024

Among patients who present purely for “syncope” — o ur greatest concern is focused on those with a cardiac-related etiology for their syncope — since longterm prognosis is poorest for these patients unless a “fixable” etiology is discovered.

Chest Pain 107

Chest Pain Aneurysm Stent Stents 107

Dr. Smith's ECG Blog

JULY 21, 2024

Immediately after contrast injection into the LMCA, the patient had circulatory collapse, with a precipitous drop in blood pressure. An Impella device was placed to maintain cardiac output and perfusion pressures. Cardiac function is poor, with akinesis of the LAD territory. Epinephrine infusion was begun.

Arrhythmia 116

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 116

Dr. Smith's ECG Blog

JANUARY 13, 2024

If it does not sense a native rhythm (perhaps from lead fracture or displacement), it will attempt to pace at 60 beats per minute, which can cause unnecessary pacing spikes interrupting normal cardiac function. A week after discharge the patient fell again, blood pressure was reported as 73/62. The case continues.

Pacemaker 104

Pacemaker Bicuspid/Mitral Blood Pressure Bradycardia 104