Dr. Smith's ECG Blog
AUGUST 26, 2024
It turns out that the conventional algorithm was also worried, and because of that, the patient was brought to the critical care area. The STE in V1 is out of proportion to the S-wave, so V1 is also very worrisome (something I did not see on my phone). Probably significant infarction.
DAIC
AUGUST 27, 2024
The software generates accurate reports in minutes using inexpensive devices, enabling emergency medicine, critical care, internal medicine, hospitalists and primary care physicians to make informed care decisions at the bedside. James Hillis, MBBS, DPhil, director of Clinical Operations at Mass General Brigham AI.
Dr. Smith's ECG Blog
OCTOBER 26, 2010
He was rushed by residents into our critical care room with a diagnosis of STEMI, and they handed me this ECG: There is sinus tachycardia with ST elevation in II, III, and aVF, as well as V4-V6. He presented to the Emergency Department with a blood pressure of 111/66 and a pulse of 117. He had this ECG recorded.
Dr. Smith's ECG Blog
SEPTEMBER 7, 2024
First troponin I returns at 48 ng/L ECG 5 143 min No significant change ECG 6 261 min Same hs Troponin I profile (peaked at 1849): Formal Echocardiogram SUMMARY The estimated left ventricular ejection fraction is 74 %. Eur Heart J 2018. Full text link. The estimated pulmonary artery systolic pressure is 27 mmHg + RA pressure.
Dr. Smith's ECG Blog
JULY 16, 2022
Here is the post PCI EKG: And a few hours after that: The post PCI echocardiogram showed: Normal estimated left ventricular ejection fraction, 57%. Plus he did a 2 year combined EM Cardiology and Critical Care Fellowship. Regional wall motion abnormality-mid to basal inferior wall.
Dr. Smith's ECG Blog
NOVEMBER 1, 2022
This EKG was recorded as part of a standing order for critical care. After discussing all of the above with ED staff, we have made a decision to get stat echocardiogram and assess overall LV function and wall motion abnormalities and defer cath lab activation at the time." He had been smoking an opiate and suddenly collapsed.
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. Echocardiogram showed LVEF 66% with normal wall motion and normal diastolic function. Lesions less than 70% are generally considered to be non-flow limiting. Two subsequent troponins were down trending.
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