Frontiers in Cardiovascular Medicine

FEBRUARY 5, 2024

Introduction Multiple abnormal electrocardiographic findings have been documented in patients experiencing acute pulmonary embolism. Although sinus tachycardia is the most commonly encountered rhythmic disturbance, subsequent reports have highlighted other findings. Echocardiography confirmed signs of right ventricular dysfunction.

Embolism 49

Embolism Pulmonary Blood Pressure Electrocardiogram 49

Dr. Smith's ECG Blog

MARCH 12, 2018

Notice I did not say "pulmonary embolism," because any form of severe acute right heart strain may produce this ECG. Differences of Pulmonary Embolism T-waves from Wellens' T-waves: 1. Acute coronary occlusion (especially during reperfusion) is very rarely accompanied by tachycardia. What is the answer?

Chest Pain 40

Chest Pain Pulmonary Embolism Tachycardia 40

Dr. Smith's ECG Blog

DECEMBER 14, 2016

The blood pressure was 110/60. The patient had no hypertension, no tachycardia, a normal hemoglobin, no drug use, no hypotension/shock, no murmur of aortic stenosis. It was not relieved by anything. The pain was not positional, pleuritic, or reproducible. He had no previous medical history. Is it STEMI or NonSTEMI?

Chest Pain 52

Chest Pain STEMI Aortic Pulmonary 52

Dr. Smith's ECG Blog

AUGUST 14, 2023

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. 2) Norepinephine to support Blood Pressure.

Chest Pain 52

Chest Pain Pulmonary Sickle Cell Disease Atrial Flutter 52

Dr. Smith's ECG Blog

MAY 10, 2023

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.) Her initial cTnI returned at 0.25 Wellens' syndrome will almost always develop elevated troponins.

Coronary Angiogram 52

Coronary Angiogram Chest Pain Stenosis STEMI 52

Dr. Smith's ECG Blog

APRIL 8, 2015

If the patient has Abnormal Vital Signs (fever, hypotension, tachycardia, or tachypnea, or hypoxemia), then these are the primary issue to address, as there is ongoing pathology which must be identified. Any ED systolic blood pressure less than 90 or greater than 180 mm Hg (+1) 4. h/o heart disease (+1) 3.

Arrhythmia 52

Arrhythmia Outcomes Risk Factors Chest Pain 52