Dr. Smith's ECG Blog

JULY 11, 2024

An echocardiogram showed severely reduced global systolic function with an EF of 20-25% and an LV apical thrombus. An echocardiogram showed an EF of 20-25%. The scan did not find PE, but showed evidence of coronary plaque: There are areas of dense white in the LAD (red and blue circles) and in the first diagonal (green circle).

Outcomes 112

Outcomes Stenosis Outpatient Echocardiogram 112

Cardiomatics

JUNE 6, 2024

For instance, the average waiting time for an echocardiogram at Turin’s Molinette Hospital was 31 days in 2016 and an even longer 53 days for a Holter ECG. Prior to the new regulation, getting a consultation with a cardiologist or getting a needed diagnostic cardiology test often involved long waiting times.

COVID-19 98

COVID-19 Hospital Outpatient Innovation 98

Journal of the American Heart Association

JANUARY 16, 2024

They also identified access to transportation as a notable challenge to accessing echocardiograms. However, competing priorities for Indian Health Service providers' time limited the amount of integration of screening echocardiography into outpatient practice.

Heart Disease 45

Heart Disease Outpatient Echocardiogram Cardiovascular Disease 45

Circulation

NOVEMBER 11, 2024

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

Bradycardia 40

Bradycardia Coronary Artery Disease Kidney Disease Outpatient 40

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Hopefully a repeat echocardiogram will be performed outpatient. 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. No other significant injuries were found. The patient did well and was discharged.

Tachycardia 114

Tachycardia Dysrhythmia Atrial Fibrillation Bradycardia 114

Dr. Smith's ECG Blog

JUNE 27, 2024

The echocardiogram showed a normal EF without any abnormalities. She was discharged with plan for outpatient cardiac MRI for further evalution. She required intermittent pacing from the temp wire numerous times overnight so a permanent pacemaker was placed the next day. Troponins were all negative.

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Blog Pacemaker Bradycardia Tachycardia 119

Dr. Smith's ECG Blog

SEPTEMBER 29, 2023

The emergent echocardiogram showed normal EF, no WMA, and normal valve function. Hopefully his outpatient EP appointment will understand and correct that. Unfortunately, this fooled the Emergency Physician and Cardiologist into an emergent angiogram for perceived "inferior STEMI." No use of drugs, stimulants, etc. was discovered.

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Chest Pain Tachycardia STEMI Blog 129

Dr. Smith's ECG Blog

DECEMBER 22, 2022

He visited an outpatient clinic for it and an echocardiogram and exercise stress test was normal. In the meantime, cardiology consultant sees the patient and performs a bedside echocardiogram which revealed no major wall motion abnormalities. He has 40 packs-year of smoking history. A third ECG and troponin was planned.

STEMI 52

STEMI Chest Pain Myocardial Infarction Electrocardiogram 52

Dr. Anish Koka

FEBRUARY 20, 2023

It is relevant to note here that as a physician active clinically in both the inpatient and outpatient arenas, I am an eyewitness to the severe toll COVID19 took on my patients in the Spring or 2020. His cardiac testing completed to date consist of an electrocardiogram and an echocardiogram performed Feb 16th, 2023 that were both normal.

COVID-19 52

COVID-19 Pericarditis Chest Pain Public Health 52