Circulation

NOVEMBER 11, 2024

After discharge, she was scheduled for a 2-week postpartum visit including echocardiogram, EKG, and NT-proBNP.Discussion:Given the patient's acute decompensation and fluid overload, medical optimization was essential prior to delivery. Home medications including isosorbide dinitrate, metoprolol, and hydralazine were continued.

Heart Failure 40

Heart Failure Cardiogenic Shock ICU Cardiothoracic 40

Dr. Smith's ECG Blog

JUNE 23, 2024

Given the presentation, the cardiologist stented the vessel and the patient returned to the ICU for ongoing critical care. Echocardiogram showed LVEF 66% with normal wall motion and normal diastolic function. Lesions less than 70% are generally considered to be non-flow limiting. Two subsequent troponins were down trending.

Chest Pain 116

Chest Pain Cardiac Arrest Sudden Cardiac Death Stents 116

Circulation

NOVEMBER 11, 2024

In this study, we report associations between echocardiographic findings and laboratory markers that portend RV failure in patients with ARDS secondary to COVID-19 infection on ECMO.Methods:A single-center study was conducted in the cardiovascular ICU of our institute.

COVID-19 40

COVID-19 Laboratory Biomarkers Echocardiogram 40

Circulation

NOVEMBER 11, 2024

He was administered a therapeutic dose of low-molecular weight heparin and transferred to the ICU. 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.

Embolism 40

Embolism Pulmonary Ultrasound ICU 40

Dr. Smith's ECG Blog

JUNE 17, 2024

Echocardiogram showed severe RV dilation with McConnell’s sign and an elevated RVSP. The patient was upgraded to the ICU for closer monitoring. This is a case like many others posted (see list below) and the EKG from the patient’s original presentation can be quickly recognized as diagnostic for pulmonary embolism.

Chest Pain 141

Chest Pain Embolism Pulmonary Tachycardia 141

Dr. Smith's ECG Blog

JULY 22, 2012

Course : A CT of the head, neck, chest, abdomen and pelvis showed no other unanticipated injuries and she was admitted to the ICU. No further ECG, troponin, or echocardiogram was done because she was asymptomatic, and had a normal rhythm and rate. She was discharged to home feeling just fine.

Dysrhythmia 52

Dysrhythmia Biomarkers Echocardiogram Ultrasound 52

EMS 12-Lead

AUGUST 22, 2022

A 65 y/o Female was admitted to the ICU for septic shock. The combination of prolonged QT and deep T wave inversion throughout the precordium is typical of Takotsubo syndrome, or Stress Cardiomyopathy – which can occur in the context of a physiologically distressed ICU patient, further compromising their hemodynamics.

Tachycardia 52

Tachycardia Electrophysiology Cardiomyopathy ICU 52