Dr. Smith's ECG Blog

DECEMBER 15, 2015

In any case, there is bradycardia. It makes pulmonary embolism (PE) very likely. The small LV implies very low LV filling pressures, which implies low pulmonary venous pressure. But it is bradyasystolic, so pulmonary embolism must be high on the differential. Possible, but huge pulmonary embolism is more likely.

STEMI 40

STEMI Embolism Pulmonary Ultrasound 40

Ken Grauer, MD

SEPTEMBER 15, 2024

Perhaps the patient has pulmonary hypertension and/or tricuspid regurgitation? There definitel are periods of bradycardia (so pacing may be needed for that). Hope this helps — :) ECG-3 — I see sinus bradycardia and arrhythmia. RED arrows show what looks to be sinus P waves that are HUGE !!!!

Arrhythmia 78

Arrhythmia Bradycardia Heart Failure Pacemaker 78

Dr. Smith's ECG Blog

DECEMBER 20, 2013

The D-dimer was elevated at 942, and the subsequent CT angiogram of the chest showed bilateral lower lobe subsegmental pulmonary emboli with a small right pleural effusion. Normal 0 false false false EN-US X-NONE X-NONE Normal 0 false false false EN-US X-NONE X-NONE The final diagnosis on his ED note: pulmonary embolism AND pericarditis.

Pericarditis 52

Pericarditis Chest Pain Pulmonary Embolism 52

Dr. Smith's ECG Blog

MARCH 30, 2014

Was there pulmonary edema? There is a junctional bradycardia. Then they were worried about sepsis as an etiology of hypotension. Then the notes mention "cardiogenic shock" but without any reference to a cardiac echo or to a chest x-ray. Not mentioned in physicians' notes. Troponin was repeated and returned higher still.

Outcomes 52

Outcomes Cardiogenic Shock STEMI Chest Pain 52

Dr. Smith's ECG Blog

DECEMBER 22, 2022

On his physical examination, cardiac and pulmonary auscultation was completely normal. His first electrocardiogram ( ECG) is given below: --Sinus bradycardia. Bi-phasic scan showed no dissection or pulmonary embolism. Peripheral pulses were all palpable. As he seemed very agitated, fentanyl and diazepam were given.

STEMI 52

STEMI Chest Pain Myocardial Infarction Electrocardiogram 52

Dr. Smith's ECG Blog

APRIL 8, 2016

Bedside ultrasound showed no effusion and moderately decreased LV function, with B-lines of pulmonary edema. There is also bradycardia. Bradycardia puts patients at risk for "pause-dependent" Torsades de Pointes. Bradycardia puts patients at risk for "pause-dependent" Torsades de Pointes.

STEMI 52

STEMI Myocardial Infarction Cardiac Arrest Arrhythmia 52

Dr. Smith's ECG Blog

MAY 19, 2020

There is sinus bradycardia with one PVC. pulmonary embolism, sepsis, etc.), Also notice that the arterial line mean arterial pressure is 63 mmHg, but there is no waveform (and SpO2 says "no pulse"), as the flow is continuous on ECMO and the LV function at this point was extremely poor, unable to add a pulse pressure. myocarditis).

Defibrillator 52

Defibrillator Circulation Plaque Cardiac Arrest 52

Dr. Smith's ECG Blog

APRIL 15, 2019

The estimated pulmonary artery systolic pressure is 37 mmHg + RA pressure. He was admitted and serial troponins were measured: Because of elevated troponins, a next day echo was done: The estimated left ventricular ejection fraction is 50%. Normal estimated left ventricular ejection fraction lower limits of normal.

Tachycardia 40

Tachycardia STEMI Chest Pain Ischemia 40

Dr. Smith's ECG Blog

APRIL 8, 2015

PVCs N ot generally considered abnormal ECG findings: Isolated PAC, First Degree AV Block, Sinus bradycardia at a rate of 35-45, and Nonspecific ST-T abnormalities (even if different from a previous ECG). Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful.

Arrhythmia 52

Arrhythmia Outcomes Risk Factors Chest Pain 52

Dr. Smith's ECG Blog

FEBRUARY 20, 2025

she had severe pulmonary edema. This is the etiology of the blood from her nose and mouth (frothy bloody pulmonary edema) This is what frothy bloody pulmonary edema looks like. Subarachnoid hemorrhage causes extreme central catecholamine output, resulting in stress cardiomyopathy, just like takotsubo. From this site.

STEMI 89

STEMI Hemorrhage Cardiac Arrest Tachycardia 89

Dr. S. Venkatesan MD

NOVEMBER 22, 2024

For many us, frying or freezing the atrial or pulmonary venous tissue would come to our mind first , overlooking systemic factors. Left atrial adiposity is a distinct entity, but rarely diagnosed (.Circ Circ Arrhythm Electrophysiol. 2010 Jun;3(3):230-6. Impact on AF therapeutics We are in aggressive space age & AI era.

Atrial Fibrillation 52

Atrial Fibrillation Arrhythmia Risk Factors Bradycardia 52