Dr. Smith's ECG Blog

JANUARY 1, 2024

An initial electrocardiogram (ECG) is provided below. A rapid echocardiogram was performed, revealing an ejection fraction of 20% with thinning of the anterior-apical walls. While the initial impression might not immediately suggest ventricular tachycardia (VT), a closer examination raises suspicion. What do you think?

Tachycardia 112

Tachycardia Blog Ischemia Heart Failure 112

Circulation

NOVEMBER 11, 2024

Electrocardiogram (ECG) and telemetry revealed junctional bradycardia with heart rate in 30s and sinus pauses (5-7 seconds). Echocardiogram was unchanged from baseline. Patient did not report any symptoms and was hemodynamically stable. He was euvolemic on physical exam. Initial laboratory analysis was unremarkable.

Bradycardia 40

Bradycardia Coronary Artery Disease Kidney Disease Outpatient 40

Wellnest

DECEMBER 21, 2022

However, an echocardiogram is a different test, also conducted for heart activity. An electrocardiogram is a machine used to record the heart's electrical activity. A fast heartbeat is called tachycardia, while a slow heartbeat is called bradycardia in medical terms. ECG and EKG refer to the same thing.

Cardiac Arrest 52

Cardiac Arrest Heart attacks Heart Attack Atrial Fibrillation 52

Dr. Smith's ECG Blog

JANUARY 1, 2013

Notice there is tachycardia. I have warned in the past that one must think of other etiologies of ischemia when there is tachycardia. In this case, the patient had failed to take his atenolol in the AM and was having reflex tachycardia in addition to ACS. Seventh , an immediate echocardiogram can make the distinction.

STEMI 52

STEMI Ischemia Chest Pain Myocardial Infarction 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

See this case: what do you think the echocardiogram shows in this case? New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. All electrocardiograms (ECGs) and coronary angiograms were blindly analyzed by experienced cardiologists.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

JANUARY 30, 2019

Otherwise vitals after intubation were only notable for tachycardia. An initial EKG was obtained: Computer read: sinus tachycardia, early acute anterior infarct. A formal echocardiogram was completed the next day and again showed a normal ejection fraction without any focal wall motion abnormalities to suggest CAD.

Heart Rhythm 52

Heart Rhythm Sudden Cardiac Death Arrhythmia STEMI 52

Dr. Smith's ECG Blog

SEPTEMBER 30, 2019

You will note that it is essentially an unremarkable electrocardiogram except for some PACS. Unfortunately there is no echocardiogram accessible because the patient checked himself out of the hospital in order to get back to his home state before it could be completed. In the available view, the RCA appears fully occluded.

Chest Pain 52

Chest Pain Pulmonary ACE Inhibitor Pacemaker 52