Blood Pressure Bradycardia Hospital 
Dr. Smith's ECG Blog
JANUARY 19, 2020
Resuscitation was initiated and this ECG was obtained: Likely AFib (irregularly irregular) with bradycardia. During this time, the patients blood pressure continued to decline, requiring 4 pressors to sustain hemodynamics. In addition to marked bradycardia — could there be high-grade AV block?
EMS 12-Lead
SEPTEMBER 8, 2024
He was hospitalized one week prior to EMS arrival for a seizure with no other recent illnesses or injuries. Bradycardia with “borderline hypotension” as described by the paramedics (BP 104/40) with 3-lead ECG as seen in Figure 1 were found. BVM was continued via NPA and the patient transported to the closest hospital.
Dr. Smith's ECG Blog
JANUARY 13, 2024
That evening when he arrived home, he had an unexpected fall while getting out of the car, blood pressure was reported to be 88/53. The patient and his wife suspected this was due to withholding of his midodrine and fludrocortisone during the hospitalization for his procedure. On the day of hospitalization, he had a CT scan.
Dr. Smith's ECG Blog
OCTOBER 7, 2019
Both of these features make inferior + RV MI by far the most likely ( Pseudoanteroseptal MI is another name for this ) There is also sinus bradycardia and t he patient is in shock with hypotension. A narrow complex bradycardia without any P-waves is also likely to respond to atropine, as it may be a junctional rhythm.
Dr. Smith's ECG Blog
OCTOBER 20, 2024
On arrival in the emergency department, invasive blood pressure was 35/15mmHg and the patient was in profound cardiogenic shock with severe confusion secondary to brain hypoperfusion. The arterial blood gas showed a lactic acidosis with a lactate level of 17mmol/L. PUSH THE LYTICS ! The below ECG (ECG #4) was recorded.
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. The patient was extubated on Day-3 of the hospital stay. Epinephrine infusion was begun.
Dr. Smith's ECG Blog
JULY 24, 2018
Written by Pendell Meyers We received a call from an outside hospital asking to transfer a "traumatic post arrest" patient. Compartment pressures in the right calf were all 40-50 mmHg. At that time his diastolic blood pressure was also hovering between 45 and 55 mmHg.
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