Wellnest

JUNE 19, 2023

Similarly, you may use our , app to adjust the paper speed along with amplification to read the slightest changes, especially for conditions like tachycardia and bradycardia. AI recognizing cardiac arrests in emergency calls. Recently, hospitals have failed to identify 25% of cases of cardiac arrest.

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Dr. Smith's ECG Blog

SEPTEMBER 21, 2020

MY Thoughts on ECG #1: The rhythm is sinus tachycardia at 105-110/minute. LEARNING Point: Maximal ST depression in leads V2-thru-V4 ( especially when the ST-T waves are shaped as they are in ECG #1 ) in a patient with new chest pain ( or sudden cardiac arrest, as in today’s case ) — is diagnostic of acute Posterior OMI until proven otherwise!

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Dr. Smith's ECG Blog

NOVEMBER 30, 2019

Is it ventricular tachycardia (VT) due to hyperK or is it a supraventricular rhythm with hyperK? Hospital admission had been recommended, but she left that ED against medical advice. If cardiac arrest from hypokalemia is imminent (i.e., A prehospital ECG was recorded: Limb leads: Precordial Leads What is the therapy?

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Dr. Smith's ECG Blog

OCTOBER 17, 2024

There was 100% proximal LAD occlusion with TIMI 0 flow, and cardiac arrest in the cath lab. The patient had a protracted hospitalization and did not survive. There is sinus tachycardia at ~100/minute. In today's case — the sinus tachycardia may have been a harbinger of this patient's ultimate demise. As per Dr.

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Dr. Smith's ECG Blog

NOVEMBER 4, 2022

Thirty-six patients (36%) presented with cardiac arrest, and 78% (28/36) underwent emergent angiography. However, STE-aVR with multilead ST depression was associated with 31% in-hospital mortality compared with only 6.2% A slightly prolonged QTc ( although this is difficult to assess given the tachycardia ).

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EMS 12-Lead

JULY 24, 2023

Category 2 : An increase in myocardial oxygen demand due to tachycardia, elevated ventricular afterload (BP or aortic stenosis), or increased wall stretch (admittedly this latter is more complicated) or a decrease in oxygen supply due to hypotension, anemia, hypoxia, or a combination of all of the above. This results in Type I MI.

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Dr. Smith's ECG Blog

NOVEMBER 28, 2022

The ECG shows sinus tachycardia, a narrow, low voltage QRS with alternating amplitudes, no peaked T waves, no QT prolongation, and some minimal ST elevation in II, III, and aVF (without significant reciprocal STD or T wave inversion in aVL). It is difficult to tell if there is collapse during diastole due to the patient’s tachycardia.

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Dr. Smith's ECG Blog

NOVEMBER 12, 2020

3 studied 416 patients hospitalized with COVID in China, of whom 82 had an initial cTn(I) above the upper reference limit. Association of Cardiac Injury With Mortality in Hospitalized Patients With COVID-19 in Wuhan, China. Cardiac troponin I in patients with coronavirus disease 2019 (COVID-19): Evidence from a meta-analysis.

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Dr. Smith's ECG Blog

OCTOBER 10, 2022

He had multiple cardiac arrests with ROSC regained each time. He spent almost 2 months in the hospital, and reportedly made a full neurologic recovery. This patient arrested shortly after hospital arrival. Hypercoagulability workup was positive for lupus anticoagulant. He was prescribed apixaban.

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Dr. Smith's ECG Blog

JULY 24, 2018

Written by Pendell Meyers We received a call from an outside hospital asking to transfer a "traumatic post arrest" patient. We received 4 ECGs, including his baseline on file, and three from today, including triage, peri-arrest, and post-ROSC (sorry for the poor quality due to scanning).

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Dr. Smith's ECG Blog

OCTOBER 25, 2023

ECG is consistent with severe hypokalemia and/or hypomagnesemia causing prolonged QT (QU) at high risk of Torsades (which is polymorphic ventricular tachycardia in the setting of a long QT interval). The patient was admitted to the ICU for close monitoring and electrolyte repletion and had an uneventful hospital course. Is it STEMI?

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Dr. Smith's ECG Blog

APRIL 8, 2016

See here for management of Polymorphic Ventricular Tachycardia , which includes Torsades. If cardiac arrest from hypokalemia is imminent (i.e., As I indicated above, in our cardiac arrest case, after pushing 40 mEq, the K only went up to 4.2 Could the dysrhythmias have been prevented? mEq/L, from 1.9

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Journal of the American Heart Association

FEBRUARY 19, 2025

BackgroundInhospital cardiac arrest (IHCA) is associated with significant morbidity and mortality. had ventricular tachycardia/ventricular fibrillation and 73.4% Journal of the American Heart Association, Volume 14, Issue 4 , February 18, 2025. Among 207 770 patients with IHCA, 26.6% had pulseless electrical activity/asystole.

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Dr. Smith's ECG Blog

OCTOBER 20, 2024

This patient is actively dying from a left main coronary artery OMI and cardiac arrest from VT/VF or PEA is imminent! Complete LMCA occlusion is associated with clinical shock and/or cardiac arrest. He was later transferred back to his local hospital neurologically intact and without serious sequela.

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Wellnest

DECEMBER 21, 2022

Patients use them to observe their heart activity by themselves when they are not in the hospital. Though their accuracy is not as high as a hospital ECG machine, they are very beneficial in detecting problems in any medical emergency and providing information about long-term heart activity.

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Dr. Smith's ECG Blog

JULY 21, 2024

The patient was extubated on Day-3 of the hospital stay. The stay in the cardiac intensive care unit (CICU) was further complicated by sepsis, delirium, GI bleeding, and anuric renal failure with need for renal replacement therapy. However, he suddenly developed a series of malignant ventricular arrhythmias.

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Dr. Smith's ECG Blog

NOVEMBER 11, 2022

There is sinus tachycardia (do not be fooled into thinking this is VT or another wide complex tachycardia!) Plus recommendations from a 5-member panel on cardiac arrest. in-hospital mortality was 18.8% She was alert and oriented and hypotensive with initial BP 70/50. for AMI with new RBBB alone).

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Dr. Smith's ECG Blog

MAY 5, 2022

After initiating treatment for hyperkalemia, repeat ECG showed resolution of Brugada pattern: The ECG shows sinus tachycardia. Steve, what do you think of this ECG in this Cardiac Arrest Patient?" A woman in her 50s with dyspnea and bradycardia A patient with cardiac arrest, ROSC, and right bundle branch block (RBBB).

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Dr. Smith's ECG Blog

OCTOBER 11, 2020

Other than tachycardia, Other than slight tachycardia, vitals were within normal limits (including oxygen saturation). About two hours after admission, he suffered a cardiac arrest (whether it was VF/VT or PEA is not available) and expired. The rhythm in ECG #1 is sinus tachycardia at 115-120/minute.

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Dr. Smith's ECG Blog

NOVEMBER 24, 2017

Answer : you must treat the patient's underlying condition causing sinus tachycardia, and repeat the ECG at the lower heart rate. Prevention of torsade depointes in hospital settings: a scientific statement from the American HeartAssociation and the American College of Cardiology Foundation. which is 0.6 So is it really prolonged?

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Dr. Smith's ECG Blog

APRIL 9, 2025

A retrospective 'target trial emulation' comparing amiodarone and lidocaine for adult out-of-hospital cardiac arrest resuscitation. Secondary outcomes included the number of post-drug defibrillations and survival to hospital discharge. This was before thrombolytics gained full use in our admitting hospital.

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Dr. Smith's ECG Blog

APRIL 16, 2025

Vitals were reported as within normal limits except for tachycardia. Side note: I think the rhythm is probably sinus tachycardia, but I can't easily point out the sinus P waves. ( She survived the hospitalization, but long term outcome is not available. Plus recommendations from a 5-member panel on cardiac arrest.

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Dr. Smith's ECG Blog

APRIL 18, 2025

There is sinus tachycardia with PVCs displaying various degrees of fusion ( See Ken Grauer's comment for below for a more detailed analysis of this rhythm ). If the ventricular escape rhythm also gives out, the patient has cardiac arrest. After ROSC, EKG 5 was recorded: This was interpreted as showing ventricular tachycardia.

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