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). So we don't have a good idea how large the final infarct size was.

Myocardial Infarction 109

Myocardial Infarction Critical Care Echocardiogram Ischemia 109

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.

Chest Pain 116

Chest Pain Myocardial Infarction STEMI Critical Care 116

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.

Ultrasound 98

Ultrasound Tricuspid Bicuspid/Mitral Aortic 98

Dr. Smith's ECG Blog

JANUARY 15, 2024

Colin is an emergency medicine resident beginning his critical care fellowship in the summer with a strong interest in the role of ECG in critical care and OMI. Written by Colin Jenkins. Edits by Willy Frick. This confirms the suspicion of prior anterior OMI. The thrombus is circled below in red.

Chest Pain 67

Chest Pain Blog Critical Care Arrhythmia 67

Dr. Smith's ECG Blog

JULY 16, 2022

A 3rd troponin returned before the angiogram was done and was 2956 ng/L Here is the angiogram description: The distal RCA has mild diffuse disease and bifurcates to give a large RPDA which is without significant stenosis. Plus he did a 2 year combined EM Cardiology and Critical Care Fellowship.

Chest Pain 52

Chest Pain Bradycardia Blog Critical Care 52

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.

Chest Pain 52

Chest Pain Coronary Artery Bypass Graft Pericarditis Blog 52