Dr. Smith's ECG Blog

APRIL 6, 2018

Written by Pendell Meyers, with edits by Steve Smith Thanks to my attending Nic Thompson who superbly led this resuscitation We received a call that a middle aged male in cardiac arrest was 5 minutes out. No other cause of arrest was identified based on lab results or pan-CT scan.

Cardiac Arrest 52

Cardiac Arrest Tachycardia Defibrillator ICU 52

Dr. Smith's ECG Blog

JULY 24, 2018

One hour later (labs not yet returned), here is the ECG recorded just after the team noticed a sudden wide complex with precipitous decompensation, just before cardiac arrest: Bizarre, Brady, and Broad (wide QRS). Upon arrival in the ICU, before getting Continuous Veno-Venous Hemodialysis (CVVHD), his potassium had risen again to 7.8

Cardiac Arrest 52

Cardiac Arrest Chest Pain Tachycardia ICU 52

European Journal of Heart Failure

DECEMBER 13, 2023

CV, cardiovascular; HT, heart transplantation; ICU, intensive care unit; LVAD, left ventricular assist device. Aims Few studies have reported data on the optimal timing of left ventricular (LV) unloading during venoarterial extracorporeal membrane oxygenation (VA-ECMO) for cardiac arrest or shock.

Aortic valve 75

Aortic valve Cardiac Arrest Heart Transplant Pulmonary 75

Dr. Smith's ECG Blog

FEBRUARY 2, 2024

His temperature was brought back to normal over time in the ICU. C), with Cardiac Echo -- A Pathognomonic ECG. Norepinephrine was started, and another ECG was recorded: The patient was rewarmed with external rewarming, heated humidified air via ventilator circuit, warm IV fluid, and Arctic sun device. He did well and was discharged.

Cardiac Arrest 134

Cardiac Arrest Blog Atrial Fibrillation Bradycardia 134

Dr. Smith's ECG Blog

JUNE 23, 2024

Given the presentation, the cardiologist stented the vessel and the patient returned to the ICU for ongoing critical care. (TIMI 3 means the rate of passage of dye through the coronary artery is normal by angiography.) Lesions less than 70% are generally considered to be non-flow limiting. Two subsequent troponins were down trending.

Chest Pain 111

Chest Pain Cardiac Arrest Sudden Cardiac Death Stent 111

Dr. Smith's ECG Blog

OCTOBER 23, 2023

Edited by Bracey, Meyers, Grauer, and Smith A 50-something-year-old female with a history of an unknown personality disorder and alcohol use disorder arrived via EMS following cardiac arrest with return of spontaneous circulation. The described rhythm was an irregular, wide complex rhythm.

Tachycardia 123

Tachycardia Cardiac Arrest ICU Blood Pressure 123

Dr. Smith's ECG Blog

SEPTEMBER 29, 2018

Fortunately, he was extubated several days later in the ICU with intact baseline mental status and was discharged shortly thereafter to subacute rehab. His troponin I peaked at 97 ng/mL (very large MI!). His follow up ECHO the next day revealed an EF of 24% and a posterior wall motion abnormality.

Chest Pain 52

Chest Pain Myocardial Infarction Cardiac Arrest Ischemia 52