Dr. Smith's ECG Blog
JANUARY 2, 2025
CT of the chest showed no pulmonary embolism but bibasilar infiltrates. Because she has cardiomyopathy and ventricular dysrhythmias, the pacer included an Implanted Cardioverter-Defibrillator (ICD) Echo 6 days later after CRT: Normal estimated left ventricular ejection fraction. She was intubated. No wall motion abnormality.
Dr. Smith's ECG Blog
FEBRUARY 6, 2024
See these publications for more information Overall, management for cardiac contusion is mostly supportive unless surgical complications develop, involving appropriate treatment of dysrhythmias and hemodynamic instability.
Dr. Smith's ECG Blog
DECEMBER 24, 2023
Flecainide : This is a potentially dangerous Na channel blocker which can cause ventricular dysrhythmias including ventricular fibrillation. A number of potentially severe pulmonary complications t hat convey higher morbidity and mortality are commonly seen in patients with CTD ( Taha and Feteih — NIH, Skills in Rheumatology, 2021 ).
Dr. Smith's ECG Blog
OCTOBER 10, 2022
The morphology of V2-V4 is very specific in my experience for acute right heart strain (which has many potential etiologies, but none more common and important in EM than acute pulmonary embolism). CT angiogram showed extensive saddle pulmonary embolism. He had multiple cardiac arrests with ROSC regained each time. This is a quiz.
Dr. Smith's ECG Blog
JANUARY 5, 2020
Atrial dysrhythmias, and atrial fi brillation in particular, are frequently misdiagnosed by computer algorithms and then by the physician who overreads them. The KEY to getting this patient better will doubtlessly include optimizing pulmonary function. Many arrhythmias will prove uninterpretable — IF only 1 or a few leads are used.
Dr. Smith's ECG Blog
APRIL 8, 2016
Bedside ultrasound showed no effusion and moderately decreased LV function, with B-lines of pulmonary edema. Could the dysrhythmias have been prevented? Severe hypokalemia in the setting of STEMI or dysrhythmias is life-threatening and needs very rapid treatment. He appeared to be in shock. Learning Points: 1. mmol/L, 0.9 +/- 0.4
Dr. Smith's ECG Blog
NOVEMBER 19, 2016
The patient was transported to the CCU for further medical optimization where a pulmonary artery catheter was placed. In cardiogenic shock, fluid may worsen the pulmonary edema associated with acute heart failure, but may still be required to support the hemodynamic status of the patient. The mean MAP for these patients was 81 +/- 13.
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