Coronary Angiogram, Dysrhythmia and Ultrasound

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Coronary Angiogram

Dysrhythmia

Ultrasound

A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?

Dr. Smith's ECG Blog

SEPTEMBER 19, 2023

Pads were placed with ultrasound guidance, so they were in the correct position. If you don't know what the dysrhythmia is, then try procainamide. Cardiology was consulted and the patient underwent coronary angiogram which showed diffuse severe three-vessel disease. If it is VT, adenosine is safe but not effective.

Tachycardia

Tachycardia Cardiogenic Shock Angina Coronary Angiogram

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

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Smith comment: This patient did not have a bedside ultrasound. Had one been done, it would have shown a feature that is apparent on this ultrasound (however, this patient's LV function would not be as good as in this clip): This is recorded with the LV on the right. Aortic angiogram did not reveal aortic dissection.

Ischemia

Ischemia Cardiogenic Shock Aortic Stenosis

Cardiovascular Update

A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?

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

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