Dr. Smith's ECG Blog
SEPTEMBER 25, 2024
The computer interpretation was “ST elevation, consider early repolarization, pericarditis or injury.” The final cardiology interpretation confirmed the computer interpretation of “ST elevation, consider early repolarization, pericarditis or injury”. A healthy 45-year-old female presented with chest pain, with normal vitals.
Circulation
NOVEMBER 11, 2024
Background:Epicardial patch defibrillators (EPDs) were commonly implanted in the 1990s for secondary prevention of sudden cardiac death. Circulation, Volume 150, Issue Suppl_1 , Page A4139677-A4139677, November 12, 2024. Despite being largely obsolete, some EPDs remain in patients and can cause late complications.
Dr. Smith's ECG Blog
OCTOBER 23, 2023
She was successfully revived after several rounds of ACLS including defibrillation and amiodarone. By EMS report, open pill bottles were found nearby at the scene, including quetiapine, fluoxetine, hydroxyzine, and gabapentin. On arrival to the ED the patient was intubated with normal vital signs.
All About Cardiovascular System and Disorders
MARCH 20, 2024
That occurs in right heart failure and constrictive pericarditis. Constrictive pericarditis is an important cause for Kussmaul sign or inspiratory increase in jugular venous pressure. On the other hand, the Y descent is very prominent in constrictive pericarditis, and it is known as Friedreich’s sign.
Dr. Smith's ECG Blog
JANUARY 15, 2024
The "flu-like" illness suggests myo- or pericarditis, but that would be a diagnosis of exclusion. Rhythm C: This telemetry strip from an older adult was initially thought to need defibrillation. Do not wait for the troponin; a lot of myocardium will be dead if you do. The case continues.
Dr. Smith's ECG Blog
OCTOBER 10, 2022
It was reportedly a PEA arrest; there was no recorded V Fib and no defibrillation. Dyspnea, Chest pain, Tachypneic, Ill appearing: Bedside Cardiac Echo gives the Diagnosis 31 Year Old Male with RUQ Pain and a History of Pericarditis. CPR was initiated immediately. Submitted by a Med Student, with Great Commentary on Bias!
Dr. Smith's ECG Blog
DECEMBER 22, 2010
After epinephrine, atropine, and defibrillation x 2, there was a return of pulses. Myocardial rupture is usually preceded by postinfarction regional pericarditis (PIRP). A 65 yo woman had felt ill for 36 hours, had seen her MD but without undergoing a cardiac evaluation. She collapsed and 911 was called; she was found pulseless.
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