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
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
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.
Dr. Smith's ECG Blog
FEBRUARY 8, 2015
I also believe that we physicians and medics are eager to treat dysrhythmias, and we want to see them even when they are not there. Dilated pupils and hypertension are a strong clue to sympathetic overload, but don't forget anticholinergic syndromes, including tricyclics! Place the Left Leg electrode on the right lower costal margin.
Dr. Smith's ECG Blog
JUNE 20, 2020
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 ). P.S.: Keep in mind that competing conditions ( ie, hyperkalemia, acute infarction, conduction defects, pulmonary disease ) may mask ECG diagnosis of LVH.
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 ).
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