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Bedside cardiac ultrasound showed moderately decreased LV function. CT of the chest showed no pulmonary embolism but bibasilar infiltrates. See this post: How a pause can cause cardiacarrest 2. In this specific case, Left Bundle Branch (LBB) area pacing was pursued to achieve cardiac resynchronization.
Initial evaluation showed elevated cardiac enzymes (CE) and normal eosinophil count. Transthoracic echocardiogram (TTE) showed an ejection fraction (EF) of 40% and a moderate-large pericardial effusion with signs of tamponade. He had a cardiacarrest during the procedure and was placed back on ECMO.
It is apparently fortunate that she had a cardiacarrest; otherwise, her ECG would have been ignored. Here is the cath report: Echocardiogram: There is severe hypokinesis of entire LV apex and apical segment of all the walls. She was defibrillated and resuscitated. I need to innoculate you against the subsequent opinions below.
Echocardiogram An echocardiogram uses sound waves to produce a detailed image of the heart, allowing doctors to see the size of the heart chambers and how well the heart is pumping blood. Blood Clots: An enlarged heart is more prone to developing blood clots, which can lead to stroke or pulmonary embolism.
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