Remove Echocardiogram Remove ICU Remove Tachycardia
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What Lies Beneath

EMS 12-Lead

A 65 y/o Female was admitted to the ICU for septic shock. From afar, there is gross tachycardia, cadence irregularities, and narrow QRS complexes that may, or may not, be Sinus in origin; and finally – a cacophony of wide complexes that might very well be ventricular in origin. Question 2: What explains the conduction abnormalities?

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Another deadly triage ECG missed, and the waiting patient leaves before being seen. What is this nearly pathognomonic ECG?

Dr. Smith's ECG Blog

Echocardiogram showed severe RV dilation with McConnell’s sign and an elevated RVSP. The patient was upgraded to the ICU for closer monitoring. and tachycardia, 1.8. Finally , they found that S1Q3T3, precordial T-wave inversions V1-V4, and tachycardia were independent predictors of PE. inverted T-waves in V1 and V2, 1.8;

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A Child with Blunt Trauma

Dr. Smith's ECG Blog

Interpretation: There is sinus tachycardia, with right bundle branch block (RBBB). 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.

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"Pericarditis" strikes again

Dr. Smith's ECG Blog

The next morning the patient went for his routine echocardiogram, where the operator noticed a dilated aortic root at 5.47 in the ICU but survived with excellent function. Here is a quote from his initial cardiology admission note (after cath was done showing no acute culprit): ".chest Troponins gradually trended down from 0.19