Remove Circulation Remove Dysrhythmia Remove Hospital
article thumbnail

A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

See these publications for more information Overall, management for cardiac contusion is mostly supportive unless surgical complications develop, involving appropriate treatment of dysrhythmias and hemodynamic instability. Circulation: Cardiovascular Imaging. Troponins and EKGs should be trended until normalization (Sybrandy).

article thumbnail

A Relatively Narrow Complex Tachycardia at a Rate of 180.

Dr. Smith's ECG Blog

I also believe that we physicians and medics are eager to treat dysrhythmias, and we want to see them even when they are not there. Henry Ford Hospital. Henry Ford Hospital. Circulation 2008;117(14):1897-907. We want to do something, like give adenosine or cardiovert, and so we are not as eager to diagnose sinus tach.

article thumbnail

An athletic 30-something woman with acute substernal chest pressure

Dr. Smith's ECG Blog

Post by Smith, with short article by Angie Lobo ( [link] ), a third year intermal medicine resident at Abbott Northwestern Hospital Case A 30-something woman with no past history, who is very fit and athletic, presented with 1.5 It was late evening and the patient will be in the hospital overnight with a potentially very unstable LAD lesion.

SCAD 52
article thumbnail

Severe shock, obtunded, and a diagnostic prehospital ECG. Also: How did this happen?

Dr. Smith's ECG Blog

Hospital admission had been recommended, but she left that ED against medical advice. mEq of K pushed fast and circulated theoretically would raise serum K immediately by 1.0 There is some ST depression and peaked T-waves. mEq/L and a creatinine 1.5 At that discharge, she was prescribed KCl 40 mEq tabs to take 3 times daily.

article thumbnail

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58). Circulation. Circulation 67, No. Circulation 1970;41:623-627 9. 2 The astute paramedic recognized this possibility and announced a CODE STEMI.

article thumbnail

STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

Could the dysrhythmias have been prevented? mEq of K pushed fast and circulated theoretically would raise serum K immediately by 1.0 Severe hypokalemia in the setting of STEMI or dysrhythmias is life-threatening and needs very rapid treatment. Since it takes some time (how long?) mEq/L, and 10 mEq would increase it by 3.3

STEMI 52
article thumbnail

New Onset Heart Failure and Frequent Prolonged SVT. What is it? Management?

Dr. Smith's ECG Blog

The patient was given furosemide and admitted to the hospital. Here is one full text article on the topic from Clinical Cardiology 2008: Diagnostic Approach and Treatment Strategy in Tachycardia-induced Cardiomyopathy Atrial Tachycardia (AT): another SVT in the ED Rapid dysrhythmia from non-sinus focus above AV node.