Dr. Smith's ECG Blog
OCTOBER 7, 2019
Both of these features make inferior + RV MI by far the most likely ( Pseudoanteroseptal MI is another name for this ) There is also sinus bradycardia and t he patient is in shock with hypotension. A narrow complex bradycardia without any P-waves is also likely to respond to atropine, as it may be a junctional rhythm.
Dr. Smith's ECG Blog
SEPTEMBER 3, 2023
Then the patient would have been taken to the critical care area with a defibrillator at his side while waiting for the cath lab to be ready. MY Thoughts on the ECG in Figure-1: The rhythm in ECG #1 is sinus bradycardia at ~50-55/minute. Would it have mattered if the OMI had been diagnosed prior to arrest?
Dr. Smith's ECG Blog
JULY 16, 2022
The computer called "Sinus Bradycardia" only (implying that everything else is normal. The overreading Cardiologist called it only "Sinus Bradycardia" with no other findings. Plus he did a 2 year combined EM Cardiology and Critical Care Fellowship. The rhythm in Figure-1 is sinus bradycardia and arrhythmia.
Dr. Smith's ECG Blog
MAY 5, 2022
It is critically important for all EM and critical care providers to have an intimate understanding of hyperkalemia and its ECG findings. ST elevation in aVL with reciprocal ST depression in the inferior leads Shock, bradycardia, ST Elevation in V1 and V2. With a twist. Do you recognize this ECG yet? What is the Rhythm?
Dr. Smith's ECG Blog
FEBRUARY 15, 2018
Submitted and written by Alex Bracey, with edits by Pendell Meyers and Steve Smith: I was walking through the critical care section of the ED when I overheard a discussion about the following ECG. Here are inferior leads, and aVL, magnified: A closer inspection of the inferior leads and aVL Sinus bradycardia. What do you think?
Dr. Smith's ECG Blog
APRIL 8, 2016
There is also bradycardia. Bradycardia puts patients at risk for "pause-dependent" Torsades de Pointes. Torsades in acquired long QT is much more likely in bradycardia because the QT interval following a long pause is longer still. Crit Care Med. Setting: Multidisciplinary critical care unit.
Dr. Smith's ECG Blog
MARCH 8, 2025
Within ten minutes, she developed bradycardia, hypotension, and ST changes on monitor. Bradycardia and heart block are very common in RCA OMI. Multidisciplinary critical care management of electrical storm. After this ECG was obtained, the ER physician received word that the patient's husband had died in the crash.
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