Remove Dysrhythmia Remove Echocardiogram Remove Pediatrics
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A Child with Blunt Trauma

Dr. Smith's ECG Blog

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.

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Young Man with a Heart Rate of 257. What is it and how to manage?

Dr. Smith's ECG Blog

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.

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A man in his 70s with weakness and syncope

Dr. Smith's ECG Blog

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?

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Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

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].