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These patients must undergo appropriate medical assessment, receive treatment for risk factors, and be educated on how to reduce their risk for stroke. A significant portion of the evaluation may be safely conducted on an outpatient basis, if urgent follow-up care is readily available.
An echocardiogram showed severely reduced global systolic function with an EF of 20-25% and an LV apical thrombus. An echocardiogram showed an EF of 20-25%. The scan did not find PE, but showed evidence of coronary plaque: There are areas of dense white in the LAD (red and blue circles) and in the first diagonal (green circle).
While awaiting admission to cardiology service, the patient had the following rhythm for approximately ten seconds on the monitor (representative image, courtesy of “ECG Educator Blog”): The patient is in ventricular standstill with no conducted P-waves and no underlying junctional or ventricular escape rhythm kicking in.
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