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Electrocardiogram (ECG) and telemetry revealed junctional bradycardia with heart rate in 30s and sinus pauses (5-7 seconds). Echocardiogram was unchanged from baseline. Patient did not report any symptoms and was hemodynamically stable. He was euvolemic on physical exam. Urine drug screen was positive for cannabis.
His medical history includes hypertension, a decade-long battle with diabetes, ischemic heart disease, a coronary bypass graft surgery ten years ago, a diagnosis of congestive heart failure for the last five years, and a prior ICD implantation five years ago. An initial electrocardiogram (ECG) is provided below. What do you think?
Traditional tools like stethoscopes, blood pressure gauges, and electrocardiograms (ECG) are fundamental for standard diagnostic practices. This transformation extends to the use of machine learning (ML) algorithms developed by startups, which analyze medical imaging data such as ECGs, echocardiograms, and cardiac MRI scans.
This was a male in his 50's with a history of hypertension and possible diabetes mellitus who presented to the emergency department with a history of squeezing chest pain, lasting 5 minutes at a time, with several episodes over the past couple of months. Also see this incredible case of the use of 12-lead ST Segment monitoring.
Case submitted and written by Mazen El-Baba MD, with edits from Jesse McLaren and edits/comments by Smith and Grauer A 90-year old with a past medical history of atrial fibrillation, type-2 diabetes, hypertension, dyslipidemia, presented with acute onset chest/epigastric pain, nausea, and vomiting. BP was 110 and oxygen saturation was normal.
Echocardiogram An echocardiogram uses sound waves to produce a detailed image of the heart, allowing doctors to see the size of the heart chambers and how well the heart is pumping blood. Monitor cholesterol levels and manage conditions like diabetes that can strain the heart. Avoid excessive alcohol and drug use.
These tests may include: Electrocardiogram (ECG) : Records the electrical activity of your heart. Echocardiogram : Uses sound waves to create images of your heart. A heart check-up is a comprehensive evaluation of your cardiovascular health. It typically includes a physical examination, medical history review and diagnostic tests.
No previous history of hypertension or diabetes. Transthoracic echocardiogram, bilateral carotid Doppler ultrasound, and electrocardiogram were normal. There was no abnormality in physical examination. Cranial magnetic resonance imaging and magnetic resonance angiography showed no abnormalities.
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