Dr. Smith's ECG Blog

JULY 22, 2012

Blunt cardiac injury my result in : 1) Acute myocardial rupture with tamponade 2) Valve rupture (tricuspid, aortic, mitral) 3) Coronary thrombosis or dissection (and thus Acute MI) from direct coronary blunt injury 4) Dysrhythmias of all kinds. Localized bleeding from contusion could cause hemopericardium even without rupture.

Dysrhythmia 52

Dysrhythmia Biomarkers Echocardiogram Ultrasound 52

Dr. Smith's ECG Blog

SEPTEMBER 7, 2020

In this pediatric study, it was 71% successful and better than amiodarone. I have ordered an echocardiogram which will be done today, after that patient can be discharged to home with follow-up in 2 to 3 months." Procainamide is another reasonable solution to the problem. The echo was normal. Learning points 1.

Tachycardia 52

Tachycardia Heart Disease Dysrhythmia Ablation 52

Dr. Smith's ECG Blog

JULY 22, 2023

Formal echocardiogram showed normal EF, no wall motion abnormalities, no pericardial effusion. There were no dysrhythmias on cardiac monitor during observation. Pediatric and elderly patients were more predisposed to developing an arrhythmic event in the setting of fever [7]. No more troponins were done. Is there fever again?

Chest Pain 91

Chest Pain Heart Rhythm Sudden Cardiac Death Dysrhythmia 91

Dr. Smith's ECG Blog

JANUARY 30, 2019

A formal echocardiogram was completed the next day and again showed a normal ejection fraction without any focal wall motion abnormalities to suggest CAD. Pediatric and elderly patients were more predisposed to developing an arrhythmic event in the setting of fever [7].

Heart Rhythm 52

Heart Rhythm Sudden Cardiac Death Arrhythmia STEMI 52