Cardiac Arrest and Electrocardiogram

New Studies: AI Captures Electrocardiogram Patterns That Could Signal a Future Sudden Cardiac Arrest

DAIC

MARCH 1, 2024

Photo by Cedars-Sinai milla1cf Fri, 03/01/2024 - 08:25 March 1, 2024 — Two new studies by Cedars-Sinai investigators support using artificial intelligence (AI) to predict sudden cardiac arrest-a health emergency that in 90% of cases leads to death within minutes.

Cardiac Arrest

Cardiac Arrest Electrocardiogram Defibrillator Electrophysiology

Spotlight on early detection of three heart diseases using ECG-AI

Medical Xpress - Cardiology

FEBRUARY 22, 2024

Too often, the first sign of cardiovascular disease may be a major event like a heart attack, stroke or cardiac arrest.

Cardiac Arrest

Cardiac Arrest Heart Disease Heart attacks Heart Attack

Amplitude spectral area of ventricular fibrillation can discriminate survival of patients with out-of-hospital cardiac arrest

Frontiers in Cardiovascular Medicine

FEBRUARY 5, 2024

Background Evidence of the association between AMplitude Spectral Area (AMSA) of ventricular fibrillation and outcome after out-of-hospital cardiac arrest (OHCA) is limited to short-term follow-up. We included all cases of OHCAs with at least one manual defibrillation.

Cardiac Arrest

Cardiac Arrest Hospital Defibrillator Electrocardiogram

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

MORE WEBINARS

PO-03-082 PREDICTORS OF SUDDEN CARDIAC ARREST IN CARDIAC AMYLOIDOSIS: A NATIONAL INPATIENT SAMPLE ANALYSIS

HeartRhythm

APRIL 30, 2024

Cardiac amyloidosis (CA) manifests as infiltrative cardiomyopathy and predisposes to sudden cardiac arrest (SCA), which can occur in about two-thirds of the patients with CA. An electrocardiogram (ECG) can be used as a readily available and affordable method that could assist in the risk stratification of the disease.

Cardiac Arrest

Cardiac Arrest Inpatient Electrocardiogram Cardiomyopathy

Cardiac arrest: even after the angiogram, the diagnosis is not always clear

Dr. Smith's ECG Blog

OCTOBER 28, 2013

Cardiac arrest can cause diffuse subendocardial ischemia, usually transient (it often resolves as time goes by after ROSC). Also, anterior MI could result from 1) ACS, but also from 2) severe ischemia due to combination of a hemodynamically significant LAD stenosis + severe hypotension during cardiac arrest.

Cardiac Arrest

Cardiac Arrest Ischemia Defibrillator Electrocardiogram

Early repolarization in the left posterior leads of the electrocardiogram: A new challenge for the existence of idiopathic ventricular fibrillation

HeartRhythm

SEPTEMBER 10, 2023

A few decades ago all sudden cardiac arrests with documented ventricular fibrillation (VF) and structurally normal hearts were diagnosed as idiopathic ventricular fibrillation (IVF).

Electrocardiogram

Electrocardiogram Sudden Cardiac Death Cardiac Arrest Document

Understanding an Enlarged Heart (Cardiomegaly): Causes, Symptoms, and Treatment

MIBHS

OCTOBER 31, 2024

Electrocardiogram (ECG/EKG) An ECG records the electrical activity of the heart and can help detect abnormalities in the heart’s rhythm that might contribute to enlargement. Cardiac Arrest or Sudden Death: Cardiomegaly increases the risk of life-threatening arrhythmias, which can cause sudden cardiac arrest.

Blood Pressure

Blood Pressure Blood Clot Heart Valves Heart Rhythm

Case Report: Lacosamide unmasking SCN5A-associated Brugada syndrome in a young female with epilepsy

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

Sudden Cardiac Death Coronary Angiogram Cardiac Arrest Laboratory

Why is ECG machine use? What diseases can EKG monitor detect?

Wellnest

DECEMBER 21, 2022

An electrocardiogram is a machine used to record the heart's electrical activity. Cardiac arrest Cardiac arrest is a medical emergency in which the heart stops pumping blood to the body. Electrocardiogram, echocardiogram, and some other tests are done for patients with cardiac arrest.

Cardiac Arrest

Cardiac Arrest Heart Attack Heart attacks Atrial Fibrillation

Abstract 4135360: Eosinophilic Myocarditis: An Atypical Presentation with a Labile Course: A Case Report

Circulation

NOVEMBER 11, 2024

Initial evaluation showed elevated cardiac enzymes (CE) and normal eosinophil count. Electrocardiogram (EKG) was unremarkable. He had a cardiac arrest during the procedure and was placed back on ECMO. Circulation, Volume 150, Issue Suppl_1 , Page A4135360-A4135360, November 12, 2024.

Myocardial Infarction

Myocardial Infarction Coronary Angiogram Echocardiogram Chest Pain

A portable ECG device! Upgrade your traditional device.

Wellnest

FEBRUARY 10, 2023

Benefits of Portable ECG devices ● Managing ECG Reports in Seconds When patients can perform a 12-lead electrocardiogram at home, medical professionals can obtain their patients' test data more quickly than a traditional EKG. A patient using a portable ECG machine can test at home without a cardiologist's request, saving time.

Electrocardiogram

Electrocardiogram Exercise Cardiac Arrest Heart Rhythm

Another Inadequate Paper Published on Triage ECGs, whose Conclusions Need Scrutiny.

Dr. Smith's ECG Blog

OCTOBER 9, 2018

The utility of the triage electrocardiogram for the detection of ST-segment elevation myocardial infarction. Given the dire consequences of missing a STEMI or OMI, including cardiac arrest (see cases below), $5700 is extremely cheap. This paper was just published: Noll S. Am J Emerg Med 36(10):1771-1774. October 2018.

Chest Pain

Chest Pain STEMI Cardiac Arrest Blog

90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. All electrocardiograms (ECGs) and coronary angiograms were blindly analyzed by experienced cardiologists. Harhash AA, Huang JJ, Reddy S, et al. aVR ST segment elevation: acute STEMI or not?

Ischemia

Ischemia STEMI Stenosis Chest Pain

A man in his 70s with weakness and syncope

Dr. Smith's ECG Blog

JULY 22, 2023

Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. Heart Rhythm, 13(7): 1515-1520. [2]: 2]: Junttila MJ, Gonzalez M, Lizotte E, Benito B, Vernooy K, Sarkozy A, Huikuri HV, Brugada P, Brugada J, Brugada R. Circulation, 117, 1890–1893. [3]: Brugada electrocardiographic pattern induced by fever.

Chest Pain

Chest Pain Heart Rhythm Sudden Cardiac Death Dysrhythmia

Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

JANUARY 30, 2019

Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. Heart Rhythm, 13(7): 1515-1520. [2]: 2]: Junttila MJ, Gonzalez M, Lizotte E, Benito B, Vernooy K, Sarkozy A, Huikuri HV, Brugada P, Brugada J, Brugada R. Circulation, 117, 1890–1893. [3]: Brugada electrocardiographic pattern induced by fever.

Heart Rhythm

Heart Rhythm Sudden Cardiac Death Arrhythmia STEMI

QT Correction Formulas Compared to The Rule of Thumb ("Half the RR")

Dr. Smith's ECG Blog

NOVEMBER 24, 2017

Essential Reading : Full text link: AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram, Part IV: The ST Segment, T and U Waves, and the QT Interval (full text link). Answer : you must treat the patient's underlying condition causing sinus tachycardia, and repeat the ECG at the lower heart rate.

Bradycardia

Bradycardia Article Atrial Fibrillation Chest Pain

A young F is hyperthermic, delirious, and dry: Fever-induced Brugada? Diphenhydramine toxicity? Tricyclic?

Dr. Smith's ECG Blog

DECEMBER 5, 2019

Further history later: This patient personally has no further high risk features (syncope / presyncope), but her mother had sudden cardiac arrest in sleep. We repeated the ECG: Brugada pattern is mostly resolved. Follow up the next AM: Brugada pattern is resolved Below is what the electrophysiologist recommended.

Sudden Cardiac Death

Sudden Cardiac Death Heart Rhythm Article Tachycardia

Potassium 6.2 with narrow QRS: any indication for calcium?

Dr. Smith's ECG Blog

FEBRUARY 10, 2025

2] Curiously, ACLS does not include consideration of calcium in its bradycardia algorithm, which could have prevented the arrest and which along with the epi produced ROSC. HyperKalemia with Cardiac Arrest. Severe hyperkalemia: can the electrocardiogram risk stratify for short-term adverse events. References 1.

Bradycardia

Bradycardia Cardiac Arrest Hypertension ICU

When ACS care is very delayed, "STEMI metrics" can be perfect. And how specific is Queen of Hearts?

Dr. Smith's ECG Blog

MARCH 23, 2025

International Evaluation of an Artificial Intelligence-Powered Electrocardiogram Model Detecting Acute Coronary Occlusion Myocardial Infarction. We are lucky this patient did not have a cardiac arrest while in the Waiting Room. link] McLaren et al. Missing Occlusions: Quality gaps for ED patients with Occlusion MI.

STEMI

STEMI Chest Pain Myocardial Infarction Article

Case Report: Anomalous origin of the right coronary artery leading to cardiac arrest induced by sexual activity: a previously unreported pathogenetic condition

Frontiers in Cardiovascular Medicine

NOVEMBER 28, 2024

The clinical significance of ARCA-LCS lies in its potential to cause myocardial ischemia or sudden cardiac death, particularly under physical exertion. Transthoracic echocardiogram, bilateral carotid Doppler ultrasound, and electrocardiogram were normal. No previous history of hypertension or diabetes.

Cardiac Arrest

Cardiac Arrest Sudden Cardiac Death Electrocardiogram Echocardiogram

Cardiovascular Update

New Studies: AI Captures Electrocardiogram Patterns That Could Signal a Future Sudden Cardiac Arrest

Spotlight on early detection of three heart diseases using ECG-AI

Amplitude spectral area of ventricular fibrillation can discriminate survival of patients with out-of-hospital cardiac arrest

Webinars

PO-03-082 PREDICTORS OF SUDDEN CARDIAC ARREST IN CARDIAC AMYLOIDOSIS: A NATIONAL INPATIENT SAMPLE ANALYSIS

Cardiac arrest: even after the angiogram, the diagnosis is not always clear

Early repolarization in the left posterior leads of the electrocardiogram: A new challenge for the existence of idiopathic ventricular fibrillation

Understanding an Enlarged Heart (Cardiomegaly): Causes, Symptoms, and Treatment

Case Report: Lacosamide unmasking SCN5A-associated Brugada syndrome in a young female with epilepsy

Why is ECG machine use? What diseases can EKG monitor detect?

Abstract 4135360: Eosinophilic Myocarditis: An Atypical Presentation with a Labile Course: A Case Report

A portable ECG device! Upgrade your traditional device.

Another Inadequate Paper Published on Triage ECGs, whose Conclusions Need Scrutiny.

90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

A man in his 70s with weakness and syncope

Hyperthermia and ST Elevation

QT Correction Formulas Compared to The Rule of Thumb ("Half the RR")

A young F is hyperthermic, delirious, and dry: Fever-induced Brugada? Diphenhydramine toxicity? Tricyclic?

Potassium 6.2 with narrow QRS: any indication for calcium?

When ACS care is very delayed, "STEMI metrics" can be perfect. And how specific is Queen of Hearts?

Case Report: Anomalous origin of the right coronary artery leading to cardiac arrest induced by sexual activity: a previously unreported pathogenetic condition

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