Remove Defibrillator Remove Embolism Remove Pericarditis
article thumbnail

Abstract 4139677: A rare case of ventriculobronchial fistula caused by an epicardial defibrillator patch

Circulation

Background:Epicardial patch defibrillators (EPDs) were commonly implanted in the 1990s for secondary prevention of sudden cardiac death. Despite empiric bronchial artery embolization, hemoptysis persisted. Circulation, Volume 150, Issue Suppl_1 , Page A4139677-A4139677, November 12, 2024.

article thumbnail

A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

It was reportedly a PEA arrest; there was no recorded V Fib and no defibrillation. The morphology of V2-V4 is very specific in my experience for acute right heart strain (which has many potential etiologies, but none more common and important in EM than acute pulmonary embolism). CT angiogram showed extensive saddle pulmonary embolism.

article thumbnail

Noisy, low amplitude ECG in a patient with chest pain

Dr. Smith's ECG Blog

The "flu-like" illness suggests myo- or pericarditis, but that would be a diagnosis of exclusion. Then, part of the thrombus embolized into the LCx causing an inferoposterolateral OMI. (As Rhythm C: This telemetry strip from an older adult was initially thought to need defibrillation. The case continues.