Circulation

NOVEMBER 11, 2024

Background:Epicardial patch defibrillators (EPDs) were commonly implanted in the 1990s for secondary prevention of sudden cardiac death. A repeat CT angiogram indicated contrast extension into the ventricular myocardium near the EPD but no lung spillage suggestive of pseudoaneurysm (Picture 1B).She

Defibrillator 40

Defibrillator Cardiac Arrest Sudden Cardiac Death Coronary Angiogram 40

Dr. Smith's ECG Blog

JANUARY 2, 2025

Finally, do a coronary angiogram Possible alternative to pacing is to give a beta-1 agonist to increase heart rate. Because she has cardiomyopathy and ventricular dysrhythmias, the pacer included an Implanted Cardioverter-Defibrillator (ICD) Echo 6 days later after CRT: Normal estimated left ventricular ejection fraction.

Tachycardia 116

Tachycardia Cardiomyopathy Blog Bradycardia 116

Frontiers in Cardiovascular Medicine

JUNE 3, 2024

Workup including routine laboratory results, 12-lead electrocardiogram (ECG), echocardiogram, and coronary angiogram was non-specific. During the intravenous lacosamide infusion, the patient developed sudden cardiac arrest caused by ventricular arrhythmias necessitating resuscitation. 2893C>T, p.Arg965Cys) in the SCN5A gene.

Sudden Cardiac Death 52

Sudden Cardiac Death Coronary Angiogram Cardiac Arrest Laboratory 52

Frontiers in Cardiovascular Medicine

MARCH 14, 2024

The routine laboratory results, imaging study, coronary angiogram, and echocardiogram (ECG) were normal. For secondary prevention, the patient underwent implantable cardioverter defibrillator implantation. The patient did not have underlying diseases. A type 1 BrS pattern was identified in one resting ECG.

Sudden Cardiac Death 59

Sudden Cardiac Death Coronary Angiogram Laboratory Echocardiogram 59

Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

After resuscitation and defibrillation , there were no more episodes of TdP. A coronary angiogram was done that did not show significant coronary artery disease. Below is the patient’s 12 lead ECG following defibrillation. Post ROSC the patient was alert and cooperative. What does this ECG tell you?

Cardiac Arrest 68

Cardiac Arrest Cardiomyopathy Arrhythmia Atrial Fibrillation 68

EMS 12-Lead

MARCH 19, 2023

Despite immediate chest compressions, and multiple rounds of defibrillation, he could not be resuscitated. Learning points 1] Acute Coronary Syndrome has many shades of clinical manifestation. He became unconscious as the monitor displayed VF.

Myocardial Infarction 52

Myocardial Infarction STEMI Coronary Angiogram Coronary Artery Disease 52

Dr. Smith's ECG Blog

JUNE 19, 2023

During angiogram in the cath lab, the patient suffered two episodes of ventricular fibrillation for which he was successfully defibrillated. Angiogram showed a culprit lesion of 100% stenosis to the right coronary artery and 100% stenosis of the right posterior descending artery, both with TIMI 0 flow.

Chest Pain 52

Chest Pain STEMI Cardiogenic Shock Bradycardia 52