Circulation

NOVEMBER 11, 2024

He was requiring supplemental oxygen and an initial bedside cardiac ultrasound was unremarkable. Despite his large clot burden, there was absence of obstructive shock.Transthoracic Echocardiogram and bilateral duplex venous ultrasound were obtained to evaluate for right heart strain and clot burden. Cardiology was consulted.

Embolism 40

Embolism Pulmonary Ultrasound ICU 40

Dr. Smith's ECG Blog

JUNE 17, 2024

Given his exertional chest pain and elevated troponin, the patient was admitted to the hospital for "NSTEMI" with a plan for left heart catheterization the next day. Echocardiogram showed severe RV dilation with McConnell’s sign and an elevated RVSP. Now another, with ultrasound. What is the Diagnosis? This is a quiz.

Chest Pain 139

Chest Pain Embolism Pulmonary Tachycardia 139

DAIC

APRIL 9, 2024

Compared to their peers without the condition, people with atrial fibrillation are twice as likely to be admitted to hospital, five times more likely to have a stroke, three times more likely to develop heart failure, and twice as likely to die prematurely.4 Symptoms include palpitations, fatigue, shortness of breath, dizziness, and fainting.

Atrial Fibrillation 105

Atrial Fibrillation Ablation Heart Rhythm Blood Clot 105

Circulation

NOVEMBER 11, 2024

Although he had a normal echocardiogram and stress test a year ago at a different hospital, due to his symptoms and intermediate-high risk probability of coronary artery disease (CAD), the decision was made to proceed with a cardiac catheterization using a trans-radial approach with a horizontal sweep technique.

Coronary Artery Disease 40

Coronary Artery Disease Angioplasty Anatomy Angina 40

DAIC

MARCH 21, 2024

For example, by integrating Ventripoint’s AI-powered heart-scanning technology, which turns ultrasound images of the heart into MRI-quality heart images, InView provides pediatric cardiologists with access to MRI-quality heart images at a fraction of the cost and time needed for traditional MRIs. As well, by incorporating Us2.ai’s

Pediatrics 86

Pediatrics Outcomes Patient Care Anatomy 86

Dr. Smith's ECG Blog

OCTOBER 2, 2021

He had been seen several weeks ago at an outside hospital for a similar issue and had been discharged home, presumably after unremarkable workup. After rethinking the case, he remained concerned about ACS and subsequently performed a point-of-care ultrasound in order to evaluate for regional wall motion abnormality. Do NOT use them.

Chest Pain 52

Chest Pain Ultrasound STEMI Myocardial Infarction 52

Dr. Smith's ECG Blog

APRIL 20, 2018

This is her pre-hospital ECG: This is her first ECG in the ED: What do you think? Given her risk factors (HTN, HLD, ESRD from diabetes) I decided to obtain a broad cardiac workup for the patient: serial ECGs, labs, serial troponins, CXR and bedside cardiac ultrasound. Case A 30 something y.o.

Chest Pain 40

Chest Pain Ultrasound Risk Factors STEMI 40

Dr. Sanjay Gupta

DECEMBER 19, 2022

Ultrasound – this is easily available, very portable and usually a very low risk investigation. All patients should have a 12 lead ECG and be put on a 24 hour heart monitor whilst in hospital. In terms of imaging, we usually start off with echocardiography (ultrasound assessment of the heart).

Stroke 52

Stroke Strokes Blood Clot AFIB 52

Dr. Anish Koka

SEPTEMBER 24, 2022

So, of the 989 cases of myocarditis that were identified via VAERS, there is information on hospitalization status for 519 of them. We know that 484 (93%) of them were hospitalized. One of these patients ended up requiring massive support using something called ECMO (extracorporeal membrane oxygenation).

COVID-19 52

COVID-19 Hospital Chest Pain Quality of Life 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. These findings are diagnostic of an apical OMI as a result of LAD Occlusion.

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

GEMMS

JANUARY 2, 2024

Objective Medical Systems (OMS EHR) Objective Medical Systems or OMS EHR is a popular EHR software that offers a Stage 3 certified electronic health record for cardiology clinics and hospitals. This enables early intervention, minimizes hospital admissions, and helps improve patient outcomes.

Document 52

Document Patient Care Private Practice Reimbursement 52

Dr. Sanjay Gupta

DECEMBER 19, 2022

Echocardiography – We can use ultrasound to visualize the heart and look at how well it pumps. With this test, an echocardiogram is done at rest to study the pumping ability of the heart. As the heart becomes more muscular, it becomes stiffer and therefore does not fill with as much blood and therefore pumps less blood out.

Heart Rhythm 40

Heart Rhythm Plaque Heart Attack Heart attacks 40

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Smith comment: This patient did not have a bedside ultrasound. Had one been done, it would have shown a feature that is apparent on this ultrasound (however, this patient's LV function would not be as good as in this clip): This is recorded with the LV on the right. In fact, bedside ultrasound might even find severe aortic stenosis.

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

See this case: what do you think the echocardiogram shows in this case? However, STE-aVR with multilead ST depression was associated with 31% in-hospital mortality compared with only 6.2% Widespread ST-depression with reciprocal aVR ST-elevation can be cause by: Heart rate related: tachyarrhythmia (e.g.,

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

APRIL 8, 2015

Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to general hospital: the EGSYS score.

Arrhythmia 52

Arrhythmia Outcomes Risk Factors Chest Pain 52

Dr. Smith's ECG Blog

MARCH 6, 2020

A bedside POC cardiac ultrasound was done: Findings: Decreased left ventricular systolic function. The patient was given furosemide and admitted to the hospital. Later, he underwent a formal echocardiogram: Very severe left ventricular enlargement (LVED diameter 7.4

Heart Failure 52

Heart Failure Tachycardia Atrial Flutter Cardiomyopathy 52

Dr. Smith's ECG Blog

MARCH 17, 2025

Nevertheless, the operator performed intravascular ultrasound and saw erupted calcium nodule consistent with plaque erosion. Echocardiogram showed inferior hypokinesis. This patient reoccluded hours after aspirin and heparin were initiated and suffered a 100% preventable in-hospital myocardial infarction.

STEMI 81

STEMI Chest Pain Document Myocardial Infarction 81

Dr. Smith's ECG Blog

MARCH 3, 2025

I suspect pulmonary edema, but we are not given information on presence of B-lines on bedside ultrasound, or CXR findings. Cardiology services were consulted at a PCI capable hospital. I focus my comments on assessment during that first hospital admission. Or I suspect that there is OMI simultaneous with another pathology.

Tachycardia 74

Tachycardia Pulmonary Chest Pain Stenosis 74