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DISCUSSION: The 12-lead EKG EMS initially obtained for this patient showed severe ischemia, with profound "infero-lateral" ST depression and reciprocal ST elevation in lead aVR. The ECG cannot diagnose the etiology of ischemia; it only the presence of ischemia, from whatever etiology.
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. Circulation. The described rhythm was an irregular, wide complex rhythm. JAMA Intern Med. 2017.3191.
Pharmacological and behavioral-based strategies often increase the smoking cessation rate in people with PAD, however, these strategies are underused. If left untreated, PAD may progress to severe forms known as chronic limb-threatening ischemia (CLTI) and acute limb ischemia (ALI).
If there is polymorphic VT with a long QT on the baseline ECG, then generally we call that Torsades, but Non-Torsades Polymorphic VT can result from ischemia alone. mEq of K pushed fast and circulated theoretically would raise serum K immediately by 1.0 If there is a pulse, you would call it Torsades. mEq/L, from 1.9
Maeda’s award-winning presentation, Abstract 15, “Pharmacological Activation of Efferocytosis Prevents Intracranial Aneurysm Rupture,” was presented in a morning session Feb. The Siekert New Investigator Award in Stroke recognizes Robert G. Siekert, M.D., The award encourages new investigators to undertake or continue stroke-related research.
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