Dr. Smith's ECG Blog
DECEMBER 20, 2010
Before initiating therapeutic hypothermia, a head CT was done and showed fatal subarachnoid hemorrhage. However, she was found to have a fatal pontine hemorrhage and had a maximum troponin I, at 12 hours after presentation, of 2.0 Echocardiogram showed an anteroapical wall motion abnormality. This 81 yo was found comatose.
Circulation
NOVEMBER 11, 2024
Herein, we present a case of recurrent left atrial myxoma with hemorrhagic, cerebral embolization.Case Report:A 34-year-old male presented with acute onset numbness and tingling of the left arm. Brain MRI demonstrated multiple hemorrhagic masses throughout the cerebral hemispheres with vasogenic edema.
EMS 12-Lead
AUGUST 25, 2024
MRI Brain demonstrated Left MCA acute/subacute infarct, MCA/PCA watershed, and no hemorrhagic transformation. In the pre-hospital setting the varying modalities needed to rule-in/rule-out these causative factors are not available (eg, Chest X-ray, Echocardiogram, etc). No previous medical history was reported. We do have the ECG.
Dr. Smith's ECG Blog
OCTOBER 26, 2010
More often, tachycardia with ST segment abnormalities (elevation or depression) is due to an underlying illness (PE, sepsis, hemorrhage, dehydration, hypoxia, respiratory failure, etc.). Then ACS (STEMI) might be primary; this might be cardiogenic shock. One must clearly rule out these processes before jumping on the ACS diagnosis.
Dr. Smith's ECG Blog
OCTOBER 12, 2024
CTA head and neck were obtained and showed no evidence of intracranial hemorrhage, large vessel occlusion stroke (what a helpful and apt name for an acute arterial occlusion paradigm, by the way.), Echocardiogram was obtained and showed mild LVH without regional wall motion abnormality. Blood glucose was not low at 162 mg/dL.
Dr. Smith's ECG Blog
FEBRUARY 6, 2024
Hopefully a repeat echocardiogram will be performed outpatient. Massive Transfusion for Motorcycle Collision with Hemorrhage, Troponin Elevated. Systolic function normal by visual assessment only, unable to visualize well for further characterization. 1900: RBBB and LAFB are almost fully resolved. 2300: QRS now within normal limits.
Dr. Smith's ECG Blog
JULY 22, 2012
5) Myocardial contusion (edema and hemorrhage in the myocardium) which may result in dysrhythmias, blocks (especially RBBB as here), and poor cardiac contractility, including wall motion abnormalities. No further ECG, troponin, or echocardiogram was done because she was asymptomatic, and had a normal rhythm and rate.
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