Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

While on telemetry monitoring he suffered cardiac arrest and was resuscitated. What ECG finding may have contributed to (or precipitated) the cardiac arrest? A coronary angiogram was done that did not show significant coronary artery disease. There are no clear signs of OMI. There is a prolonged QTc.

Cardiac Arrest 67

Cardiac Arrest Cardiomyopathy Arrhythmia Atrial Fibrillation 67

Circulation

NOVEMBER 11, 2024

This case highlights such a scenario.Case:A 75-year-old female with a history of cardiac arrest 30 years ago presented with shortness of breath and left leg swelling. She experienced massive hemoptysis, leading to respiratory and cardiac arrest, but was resuscitated.

Defibrillator 40

Defibrillator Cardiac Arrest Sudden Cardiac Death Coronary Angiogram 40

Frontiers in Cardiovascular Medicine

JUNE 3, 2024

During the intravenous lacosamide infusion, the patient developed sudden cardiac arrest caused by ventricular arrhythmias necessitating resuscitation. Of note, the patient had a family history of sudden cardiac death.

Sudden Cardiac Death 52

Sudden Cardiac Death Coronary Angiogram Cardiac Arrest Laboratory 52

Circulation

NOVEMBER 11, 2024

A repeat coronary angiogram was unremarkable. He had a cardiac arrest during the procedure and was placed back on ECMO. TTE showed a reduced EF with multiple segmental abnormalities concerning for myocardial infarction. Intra-operative TEE showed an EF of 20% with no improvement after drainage.

Myocardial Infarction 40

Myocardial Infarction Coronary Angiogram Echocardiogram Chest Pain 40

Dr. Smith's ECG Blog

JUNE 5, 2024

Uncontrolled coronary spasm may be associated with serious arrhythmias , including cardiac arrest ( Looi et al — Postgrad Med, 2012 ; Tan et al — Eur Heart J Case Rep, 2018 ; Chevalier et al — JACC, 1998 ; Rodriguez-Manero — EP Europace, 2018 ). As a result — an ICD may need to be considered in selected cases.

Chest Pain 106

Chest Pain Blog Cardiac Arrest Cardiomyopathy 106

EMS 12-Lead

JULY 24, 2023

It’s judicious, then, to arrange for coronary angiogram. Coronary occlusion, however, might be present concurrently with subendocardial ischemia on the time-zero ECG, or evolve into such. Proximal LAD disease with/without a) and b) It seemed quite apparent that this was an Acute Coronary Syndrome. Coronary Angiogram 1.

Angina 52

Angina Ischemia Coronary Angiogram Stenosis 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

We investigated the incidence of an acutely occluded coronary in patients presenting with STE-aVR with multi-lead ST depression. All electrocardiograms (ECGs) and coronary angiograms were blindly analyzed by experienced cardiologists. Results Emergent angiography was performed in 80% (79/99) of patients.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52