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Heart Disease and Stroke Could Affect at Least 60% of Adults in U.S. by 2050, According to American Heart Association Advisories

DAIC

A projected rise in heart disease and stroke – along with several key risk factors, including high blood pressure and obesity – is likely to triple related costs to $1.8 Smith Center for Outcomes Research in Cardiology and director of the cardiac critical care unit at Beth Israel Deaconess Medical Center in Boston, Mass.

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Tachycardia must make you doubt an ACS or STEMI diagnosis; put it all in clinical context

Dr. Smith's ECG Blog

He presented to the Emergency Department with a blood pressure of 111/66 and a pulse of 117. He was rushed by residents into our critical care room with a diagnosis of STEMI, and they handed me this ECG: There is sinus tachycardia with ST elevation in II, III, and aVF, as well as V4-V6. He had this ECG recorded.

STEMI 52
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Chest discomfort, Sinus Tachycardia, Q-waves, ST Elevation, and Intermittent Wide Complex Tachycardia. Activate the Cath Lab?

Dr. Smith's ECG Blog

He was brought to the critical care area where these rhythms were seen on the monitor: Wide complex tachycardia with no apparent P-waves, and very irregular Consistent with atrial fibrillation with aberrancy A Regular wide complex tachycardia. Still Irregular Blood pressure during these rhythms was adequate; there was no shock.

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Massive Transfusion for Motorcycle Collision with Hemorrhage, Troponin Elevated.

Dr. Smith's ECG Blog

Her initial troponin I, part of a critical care order set, returned at 0.55 mEq/L A subsequent ECG was recorded several hours later, after the hemorrhage was controlled and the blood pressure stabilized: Sinus rhythm with normal intervals, no RBBB, no LAFB, no long ST segment. There were 2 K values measured in the ED: 3.7

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A young woman in her early 20s with syncope

Dr. Smith's ECG Blog

The cardiac monitor showed sinus rhythm but the automatic blood pressure cuff was not reading. While calling for some help and arranging to have her transported to our critical care zone, I got this quick ultrasound which confirmed my suspicion: This quick view was all I was able to obtain in the circumstances.

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Abstract TP264: Blood pressure trends during first forty-eight hours post arterial ischemic stroke in children with cardiac disease

Stroke Journal

Blood pressure is an important modifiable factor associated with poor neurological outcomes. Blood pressure percentile was obtained based on age, sex, and the 50thheight range. We contrasted the blood pressure with age and admission year matched CCCU controls without a history of stroke.

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A 40-Something male with a "Seizure," Hypotension, and Bradycardia

Dr. Smith's ECG Blog

The patient arrived at the Emergency Dept critical care area and had this ECG recorded: The sinus bradycardia persists. Dr. Smith pointed out that while atropine may may result in slightly more oxygen demand, the increase in cardiac output and in blood pressure would increase overall coronary perfusion and decrease ischemia.