Dr. Smith's ECG Blog
MAY 22, 2024
The patient stabilized and was transferred for ICU admission. Learning points: Your differential for wide QRS (by itself) and bradycardia (by itself) must include hyperkalemia. Labs resulted, showing a potassium of 8.0 mEq/L, glucose of greater than 900 mg/dL, and anion gap metabolic acidosis consistent with DKA.
Dr. Smith's ECG Blog
FEBRUARY 2, 2024
His temperature was brought back to normal over time in the ICU. Altered Mental Status, Bradycardia == MY Comment , by K EN G RAUER, MD ( 2/2 /2024 ): == Dr. Meyers began today’s case with the clinical challenge of asking you to identify the underlying cause of ECG #2. He was extubated and had normal neurologic function.
Dr. Smith's ECG Blog
APRIL 6, 2018
Because hyperkalemia kills by either VT or VF arrest, or by bradycardia with PEA arrest, this should be assumed to be VT until proven otherwise. He made it to the ICU, however the patient unfortunately expired approximately 24 hours after ICU admission. We set the machine to synchronized cardioversion.
Dr. Smith's ECG Blog
JULY 24, 2018
Upon arrival in the ICU, before getting Continuous Veno-Venous Hemodialysis (CVVHD), his potassium had risen again to 7.8 Hyperkalemia findings include the classic peaked T-waves, as well as the deadly B's of hyperkalemia: Broad (wide QRS), Brady (bradycardia), Blocks (AV blocks), and Bizarre. There is no ECG available from this time.
Dr. Smith's ECG Blog
MAY 5, 2022
He was admitted to the ICU and transferred emergently to a facility where he could undergo emergent dialysis as a part of further evaluation and management. ST elevation in aVL with reciprocal ST depression in the inferior leads Shock, bradycardia, ST Elevation in V1 and V2. The QRS is narrow and T waves are much less peaked.
Dr. Smith's ECG Blog
OCTOBER 25, 2023
The patient was admitted to the ICU for close monitoring and electrolyte repletion and had an uneventful hospital course. Syncope and Bradycardia Syncope in a 20-something woman Long QT: Do not trust the computerized QT interval when the QT is long An Alcoholic Patient with Syncope Cardiac Arrest. Is it STEMI? What is going on here?
Dr. Smith's ECG Blog
MAY 26, 2023
He was admitted to the ICU and was unstable, in shock, overnight. Case Continued: He was stabilized on more calcium, pressors, and high dose insulin. 3 hours later, this was recorded at a K of 2.8 mEq/L and total calcium of 14.7 mg/dL: The massive ST Elevation persists. What is going on here?
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