Dr. Smith's ECG Blog

JANUARY 2, 2025

Bedside cardiac ultrasound showed moderately decreased LV function. CT of the chest showed no pulmonary embolism but bibasilar infiltrates. Discontinue all negative chronotropic agents, since the risk of torsade is much higher with bradycardia or pauses. See this post: How a pause can cause cardiac arrest 2.

Tachycardia 116

Tachycardia Cardiomyopathy Blog Bradycardia 116

EMS 12-Lead

MARCH 30, 2024

This false electrical capture may have made cardiac arrest recognition difficult, and the re-arrest may have gone unrecognized for an unknown amount of time. The receiving staff suspects pulmonary embolism due to S1Q3T3 on the ECG and administers TPA. They are unable to feel a pulse and resume CPR.

Cardiac Arrest 124

Cardiac Arrest Pacemaker Pulmonary Bradycardia 124

Dr. Smith's ECG Blog

DECEMBER 15, 2015

In any case, there is bradycardia. It makes pulmonary embolism (PE) very likely. First, what kind of arrest was this? It was a PEA or bradyasystolic arrest , not a shockable rhythm. But it is bradyasystolic, so pulmonary embolism must be high on the differential. No shock was ever delivered. The RV is huge.

STEMI 40

STEMI Embolism Pulmonary Ultrasound 40

Dr. Smith's ECG Blog

MAY 19, 2020

There is sinus bradycardia with one PVC. There is "Shark Fin morphology" I saw this and thought for certain that this was going to be an LAD or left main occlusion as etiology of arrest, and etiology of profound ST Elevation in I, II, aVL, and V3-V6, and ST depression in III, V1 and V2. pulmonary embolism, sepsis, etc.),

Defibrillator 52

Defibrillator Circulation Plaque Cardiac Arrest 52