Bradycardia Critical Care Ischemia 
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
JULY 16, 2022
If you put the inferior and posterior findings together, it is diagnostic of OMI This was read as "inferior ischemia" without any other information by Dr. Richard Gray and as probable reperfused inferior-posterior OMI much later by both me and Pendell Meyers, also without any clinical information.
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. It is possible there is microvascular dysfunction producing residual transmural ischemia. Multidisciplinary critical care management of electrical storm. link] Jentzer, J.
Expert insights. Personalized for you.
40 
Let's personalize your content