Dr. Smith's ECG Blog

JULY 11, 2024

The attending provider wrote “Agree with electrocardiogram interpretation”. An echocardiogram showed severely reduced global systolic function with an EF of 20-25% and an LV apical thrombus. The red arrow shows a roughly 80% stenosis of the proximal LAD. An echocardiogram showed an EF of 20-25%. Normal EKG”. Normal ECG.

Outcomes 112

Outcomes Stenosis Outpatient Echocardiogram 112

Dr. Smith's ECG Blog

JUNE 11, 2024

Angiogram findings included: 95% mid RCA stenosis with occluded distal right PDA secondary to thrombus (peristent OMI). Successful drug-eluting stent placement opening up 95% mid RCA stenosis to 0% residual Nonobstructive left system disease. Formal echocardiogram: Systolic function is at the lower limits of normal.

Chest Pain 113

Chest Pain STEMI Blog Exercise 113

Circulation

NOVEMBER 11, 2024

Laboratory tests showed markedly elevated troponin I levels (>50 ng/ml) and atrial fibrillation, along with inferior wall ST elevation on the electrocardiogram. A 2D echocardiogram revealed an ejection fraction of 43%, hypokinesia of the anterior and intraventricular septum from base to apex, and severe mitral stenosis.

Pulmonary 40

Pulmonary Open-Heart Surgery Atrial Fibrillation Myocardial Infarction 40

Circulation

NOVEMBER 11, 2024

Electrocardiogram (ECG) showed a prominent S wave in the left-sided leads and a prominent R wave in the right-sided chest leads, suggesting dextrocardia. The left circumflex had 80% proximal stenosis with minimal luminal irregularities in the mid to distal portion.

Coronary Artery Disease 40

Coronary Artery Disease Angioplasty Anatomy Angina 40

BoardVitals - Cardiovascular

MAY 1, 2017

Echocardiogram is indicated (Correct) C. Start aspirin and Plavix Correct answer: (B) (B) Echocardiogram is indicated. Explanation: Shown electrocardiogram suggests left ventricular hypertrophy. Shown electrocardiogram suggests left ventricular hypertrophy. No further workup is indicated B. Start with a Free Trial.

Cardiomyopathy 52

Cardiomyopathy Sudden Cardiac Death Bicuspid/Mitral Electrocardiogram 52

Dr. Smith's ECG Blog

OCTOBER 28, 2013

An echocardiogram on day 3 showed no wall motion abnormality (but of course, these can resolved with reperfusion, and the more time it has to resolve from "stunning", the more likely it is to be resolved). Updates on the Electrocardiogram in Acute Coronary Syndromes. The troponin I peaked at 8.1. References : 1. Nikus KC, Eskola MJ.

Cardiac Arrest 52

Cardiac Arrest Ischemia Defibrillator Electrocardiogram 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

History sounds concerning for ACS (could be critical stenosis, triple vessel), but differential also includes dissection, GI bleed, etc. See this case: what do you think the echocardiogram shows in this case? 2 cases of Aortic Stenosis: Diffuse Subendocardial Ischemia on the ECG. His response: “subendocardial ischemia.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52