Remove Blood Pressure Remove Embolism Remove Pulmonary
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Case Report: Complete atrioventricular block in an elderly patient with acute pulmonary embolism

Frontiers in Cardiovascular Medicine

Introduction Multiple abnormal electrocardiographic findings have been documented in patients experiencing acute pulmonary embolism. To date, only a limited number of cases involving a complete atrioventricular block have been reported in acute pulmonary embolism.

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Acute type A aortic dissection with cerebral malperfusion: diagnosis and repair using a novel technique

The British Journal of Cardiology

His blood pressure was 180/110 mmHg and heart rate was 100 bpm. He had a high blood pressure and heart rate and was initially treated with glyceryl trinitrate. If the dissection extends into the aortic arch branches, ensuring adequate cerebral perfusion during surgery is crucial to preventing stroke.

Aortic 40
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A crashing patient with an abnormal ECG that you must recognize

Dr. Smith's ECG Blog

Notice I did not say "pulmonary embolism," because any form of severe acute right heart strain may produce this ECG. This includes, but is not limited to, PE, asthma/COPD exacerbation, hypoxic vasoconstriction from pneumonia, acute pulmonary hypertension exacerbation. There are filling defects in both main pulmonary arteries.

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A 60-something with Syncope, LVH, and convex ST Elevation

Dr. Smith's ECG Blog

Low LV filling pressures are due to several etiologies, most commonly due to volume depletion (dehydration or hemorrhage), but also due to other etiologies including, but not limited to: mitral stenosis, pulmonary hypertension (chronic, or due to pulmonary embolism), or poor RV performance.

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What does the ECG show in this patient with chest pain, hypotension, dyspnea, and hypoxemia?

Dr. Smith's ECG Blog

The bedside echo showed a large RV (Does this mean there is a pulmonary embolism as the etiology?) When you suspect pulmonary embolism due to large RV on POCUS, always look for right axis deviation and a large R-wave in V1 because the large RV may be entirely due to chronic RVH, not acute PE. Lots of info here.

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A 30-something woman with intermittent CP, a HEART score of 2 and a Negative CT Coronary Angiogram on the same day

Dr. Smith's ECG Blog

Given that there was such a high blood pressure, it is possible that this is a type 2 MI (supply demand mismatch due to high oxygen demand when myocardium is pumping against such elevated blood pressure.) No signs for aortic dissection or pulmonary embolus. --"Results were discussed with the ordering physician.

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Persistent Chest Pain, an Elevated Troponin, and a Normal ECG. At midnight.

Dr. Smith's ECG Blog

The blood pressure was 110/60. The patient had been on a long drive, suggesting possible pulmonary embolism (this was unlikely given absence of tachyardia, hypoxia, or any other feature of PE), so we sent a d dimer. [We Patients with ACS and acute pulmonary edema 3. It was not relieved by anything.