Remove Dysrhythmia Remove Heart Disease Remove Hospital
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An adolescent with trauma, chest pain, and a wide complex rhythm

Dr. Smith's ECG Blog

This case was sent by Dr Avinash Krishnamurthy, a fine emergency medicine resident from Australia Cairns base hospital Case : An adolescent male had a mechanical fall and injured his left shoulder and arm. Accelerated ventricular rhythm in children: a review and report of a case with congenital heart disease 3.

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Syncope and ST Elevation on the Prehospital ECG

Dr. Smith's ECG Blog

He was admitted for monitoring, as his risk of a ventricular dysrhythmia as cause of the syncope is high ( very high due to HFrEF and ischemic cardiomyopathy ). IF you missed the KEY Findings on the pre-hospital ECG of todays case Please take another look at My Comment at the bottom of the page of that February 6, 2020 post.

STEMI 52
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Back to basics: what is this rhythm? What are your options for treating this patient?

Dr. Smith's ECG Blog

But adenosine only lasts for seconds, and if the dysrhythmia recurs, then the adenosine is gone. Prevent the initiation of the dysrhythmia -- this can be done with a beta blocker by prenenting PACS 2. Smith: should we give adenosine again? Adenosine worked. It converted the rhythm. We need to do one or both of two things: 1.

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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58). 10 The 2014 ACC/AHA guidelines for the Management of Patients with Valvular Heart Disease , referencing this article, gives this recommendation: "CLASS IIb 1.

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The three things that can go wrong with the heart

Dr. Sanjay Gupta

At first glance, the subject of heart disease can seem exceptionally complex – consisting of several different conditions, medical jargon and very scary sounding terminology. Cardiac CT is now widely available and to my mind the easiest way to know about the blood vessels of the heart.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

h/o heart disease (+1) 3. Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to general hospital: the EGSYS score. Heart 2008;94(12):1620–6. Background: Syncope is a common, potentially serious condition accounting for many hospital admissions. Del Rosso A, et al.

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What is this rhythm? And why rhythm problems are easier for the Emergency Physician than acute coronary occlusion (OMI).

Dr. Smith's ECG Blog

Sinus tach is often misinterpreted as a dysrhythmia. This type of VT is often diagnosed in younger patients without any baseline cardiac disease. They often have good ejection fraction and tolerate the dysrhythmia quite well. Later in her hospital course, here is another ECG: Sinus rhythm with bigeminal PVCs.