Remove Blood Pressure Remove Chest Pain Remove ICU
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A crashing patient with an abnormal ECG that you must recognize

Dr. Smith's ECG Blog

Wellens' is a syndrome of a painless period following an anginal (chest pain) event. Chest pain, SOB, Precordial T-wave inversions, and positive troponin. She also complained of generalized weakness, lightheadedness, diaphoresis, chest pain, and cough. What is the Diagnosis? She was discharged and did well.

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A fascinating electrophysiology case. What is this wide complex tachycardia, and how best to manage it?

Dr. Smith's ECG Blog

The pacing rate was increased without clinical improvement and the patient was transferred to the ICU for closer monitoring/treatment. Therefore — Just because a patient remains awake and alert with an adequate blood pressure for an extended period of time does not rule out the possibility sustained VT.

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Could you have prevented this young man's cardiac arrest?

Dr. Smith's ECG Blog

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. Upon arrival in the ICU, before getting Continuous Veno-Venous Hemodialysis (CVVHD), his potassium had risen again to 7.8

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Another deadly and confusing ECG. Are you still one of the many people who will be fooled by this ECG, or do you recognize it instantly?

Dr. Smith's ECG Blog

He denied any chest pain or shortness of breath and stated he felt at his baseline yesterday prior to drug use. On arrival in the ED, he was hypotensive with a systolic blood pressure in the 70s. They recommended repeating his ECG and awaiting troponin since the patient did not have any chest pain.

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Never send a chest pain patient home without measuring troponin. What is masquerading bundle branch block? And, and, and.

Dr. Smith's ECG Blog

He played a round of golf a week prior and felt an episode of chest pain during the round, which spontaneously resolved. On presentation, he reported no chest pain or shortness of breath. Orthostatic blood pressures were recorded and confirmed orthostatic hypotension. Does this patient have ACS Symptoms?