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The three things that can go wrong with the heart

Dr. Sanjay Gupta

Infections and inflammation of the heart eg myocarditis will cause acute inflammation of the heart and therefore may compromise the pumping ability of the heart Conditions such as high blood pressure will make the heart work harder and as it does so it will become more muscular. This is termed as diastolic dysfunction.

Plaque 40
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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

The initial blood pressure was 80/palp with a heart rate of 104, respirations 20, oxygen saturations of 94% and a finger stick blood glucose of 268. Smith comment: This patient did not have a bedside ultrasound. In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Any ED systolic blood pressure less than 90 or greater than 180 mm Hg (+1) 4. orthostatic vitals b.