Dr. Smith's ECG Blog

APRIL 12, 2023

On arrival, lung ultrasound confirmed pulmonary edema (B lines). There is STE and hyperacute T-waves in V2 and V3, with significant STE in I and aVL, and inferior reciprocal STD. This is proximal LAD Occlusion until proven otherwise. An ECG was recorded: ED ECG 1: The findings are still present but not nearly as profound now.

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Echocardiogram Pulmonary Cardiomyopathy Coronary Artery Disease 52

Dr. Smith's ECG Blog

MAY 13, 2020

What do you think the echocardiogram shows? This was a point of care ultrasound, not a bubble contrast echo. Cath lab activated Dual antiplatelet therapy and heparin given. NTG drip started. Pain better still. First trop I returns at 1.5. POCUS Echo: POCUS Echo with no wall motion abnormality and normal ejection fraction.

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Echocardiogram Ischemia Chest Pain Blog 52

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.

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Embolism Pulmonary Ultrasound ICU 40

DAIC

AUGUST 27, 2024

Food and Drug Administration (FDA) has granted 510(k) clearance for its first-of-a-kind, AI-powered AISAP CARDIO point-of-care ultrasound (POCUS) software platform. We know that structural heart disease and heart failure are the leading causes of hospitalization and morbidity in the U.S.

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Ultrasound Tricuspid Bicuspid/Mitral Aortic 98

DAIC

JANUARY 15, 2024

The algorithm uses deep learning to analyse routine ultrasound scans of the heart ( echocardiograms ) to detect disease that often goes undetected during standard assessments.

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Ultrasound Coronary Artery Disease Innovation Heart Failure 119

Frontiers in Cardiovascular Medicine

FEBRUARY 19, 2024

This comprehensive evaluation included the use of ultrasound echocardiograms, computed tomography (CT) scans, electrocardiograms, mutagenesis analysis, and structural analysis to gain insights into the patient's condition and the underlying mechanisms of PD.

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Cardiogenic Shock Quality of Life Heart Failure Laboratory 59

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

All About Cardiovascular System and Disorders

APRIL 22, 2024

Ultrasound image of the heart – echocardiogram, showing fluid collection around the heart, marked as PE, short for pericardial effusion. Collection of fluid within the covering of the heart is called pericardial effusion. If it is severe enough to compress the heart, it prevents proper filling of the heart and blood pressure falls.

Heart Disease 52

Heart Disease Heart Failure Blood Pressure Atrial Fibrillation 52

Dr. Smith's ECG Blog

DECEMBER 20, 2010

This case was posted on the [link] ultrasound site, of which this ECG blog is a part. I refer you to the video case presentation by one of my colleagues, Dr. Rob Reardon (who has, by the way, a fantastic collection of ED ultrasound cases). However, only the first ECG was shown, and it was recorded before the patient became ill.

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Echocardiogram Cardiomyopathy Ultrasound STEMI 52

Cardiovascular Ultrasound

JANUARY 2, 2024

When following patients with serial echocardiograms, each new measur. Serial echocardiographic assessments are common in clinical cardiology, e.g., for timing of intervention in mitral and aortic regurgitation.

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Echocardiogram Bicuspid/Mitral Aortic Research 52

DAIC

MARCH 6, 2024

Food and Drug Adminstration (FDA) has approved DEFINITY (Perflutren Lipid Microsphere) as an ultrasound enhancing agent for use in pediatric patients with suboptimal echocardiograms, including those who have undergone heart transplant, or have Kawasaki disease or a congenital cardiovascular anomaly. Lantheus announced that the U.S.

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Pediatrics Ultrasound Heart Transplant Echocardiogram 105

All About Cardiovascular System and Disorders

APRIL 25, 2024

Sometimes mild pericardial effusion may be detected by an echocardiogram done for other causes. Pericardial effusion is usually confirmed by an echocardiogram (ultrasound study of the heart). When the quantity is large enough to compress the heart, the person may feel breathless or dizzy because of a fall in blood pressure.

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Pericarditis Cancer Blood Pressure Heart Valves 40

ECG Cases

DECEMBER 3, 2019

In this EM Quick Hits podcast we have Emily Austin on physostigmine for anticholinergic toxidrome, Walter Himmel on understanding nystagmus to differentiate central vs peripheral causes of vertigo, Rob Devins on the role of transesophageal echocardiogram in cardiac arrest, Jesse MacLaren on nuances in inferior MI ECG changes and aVL, Andrew Petrosoniak (..)

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Cardiac Arrest Echocardiogram Ultrasound 52

All About Cardiovascular System and Disorders

APRIL 4, 2024

During echocardiography, a transducer transmits the ultrasound beam towards the heart. The image shown here is an animated 2 dimensional echocardiogram. This one is an older mode known as time-motion mode or M-Mode echocardiogram. Hence a basic knowledge is needed for all physicians and paramedics.

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Bicuspid/Mitral Echocardiogram Tricuspid Aortic 52

Dr. Smith's ECG Blog

SEPTEMBER 9, 2024

The patient was thought to have low likelihood of ACS, and cardiology recommended repeat troponin, urine drug testing, and echocardiogram. Bedside echocardiogram showed hypokinesis of the mid to distal anterior wall and apex. Fortunately, this operator used intravascular ultrasound (IVUS). Initial hscTnI was 10 ng/L (ref. <14).

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Plaque Stent Stents Chest Pain 66

DAIC

APRIL 9, 2024

Before the procedure, patients should have an electrocardiogram (ECG) and echocardiogram (ultrasound of the heart) to check the heart’s rhythm and function. Some patients need computed tomography or transoesophageal echocardiography to exclude the presence of a blood clot in the heart.

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Atrial Fibrillation Ablation Heart Rhythm Blood Clot 105

Dr. Smith's ECG Blog

JUNE 17, 2024

Echocardiogram showed severe RV dilation with McConnell’s sign and an elevated RVSP. Cardiac Ultrasound may be a surprisingly easy way to help make the diagnosis Answer: pulmonary embolism. Now another, with ultrasound. The patient was upgraded to the ICU for closer monitoring. What is the Diagnosis? This is a quiz.

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Chest Pain Embolism Pulmonary Tachycardia 137

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

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Pediatrics Outcomes Patient Care Anatomy 86

Dr. Smith's ECG Blog

OCTOBER 2, 2021

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. He underwent formal echocardiogram several days later, which confirmed the findings of anterior, and apical wall motion abnormalities. Do NOT use them.

Chest Pain 52

Chest Pain Ultrasound STEMI Myocardial Infarction 52

Dr. Sanjay Gupta

DECEMBER 19, 2022

Ultrasound – this is easily available, very portable and usually a very low risk investigation. In terms of imaging, we usually start off with echocardiography (ultrasound assessment of the heart). Another way of imaging the heart is via a transesophageal echocardiogram. There are a variety of ways to look at these.

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Stroke Strokes Blood Clot AFIB 52

Dr. Smith's ECG Blog

JUNE 18, 2011

1.196 x STE60 in V3 in mm) + (0.059 x computerized QTc) - (0.326 x RA in V4 in mm) Third, one can do an immediate cardiac ultrasound. A bedside ultrasound was done by an emergency physician and simultaneously read by a cardiologist. greater than 23.4 is likely anterior STEMI). LV aneurysm is very different for inferior vs. anterior MI.

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STEMI Pericarditis Hospital Aneurysm 52

Dr. Sanjay Gupta

MARCH 6, 2022

So today i wanted to talk to you about what each heart test tells us about these different aspects of heart disease Tests that tell you about the heart as a pump The most commonly used test to assess the heart as a pump is an echocardiogram. This is an ultrasound (a bit like the type that we use on pregnant women to look at the baby).

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Heart Attack Heart attacks Heart Rhythm Exercise 52

Dr. Smith's ECG Blog

APRIL 20, 2018

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. This appears to be new, as her last formal echocardiogram 2 years ago was relatively normal. Clinical presentation is important, but so is history.

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Chest Pain Ultrasound Risk Factors Diabetes 52

Dr. Smith's ECG Blog

JULY 22, 2012

Hemodynamic instability in trauma is usually due to bleeding, but if ultrasound shows poor contractility, then this may be due to cardiac contusion. No further ECG, troponin, or echocardiogram was done because she was asymptomatic, and had a normal rhythm and rate. In the ED, ultrasound showed hemopericardium with tamponade.

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Dysrhythmia Biomarkers Echocardiogram Ultrasound 52

Dr. Smith's ECG Blog

JUNE 17, 2018

The patient underwent an emergent formal echocardiogram to look for wall motion abnormality: The estimated left ventricular ejection fraction is 63 %. Exclusion criteria were age less than 18, SBP less than 100 mmHg, echocardiogram with EF less than 50%, STEMI, pregnancy, and trauma. No wall motion abnormality.

Chest Pain 52

Chest Pain Pericarditis Tachycardia Myocardial Infarction 52

Dr. Smith's ECG Blog

OCTOBER 26, 2010

One very useful adjunct is ultrasound: Echo of his heart can distinguish aneurysm from acute MI by presence of diastolic dyskinesis, but it cannot distinguish demand ischemia from ACS. One must clearly rule out these processes before jumping on the ACS diagnosis. Furthermore, notice the well-formed Q-waves in inferior leads.

STEMI 52

STEMI Cardiogenic Shock Tachycardia Aneurysm 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. This entire case is not consistent with takotsubo. It can only be seen by IVUS.

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Plaque Chest Pain Thrombosis Stenosis 52

Dr. Smith's ECG Blog

JULY 18, 2014

An echocardiogram showed no hemopericardium, but D oppler showed a new small ventricular septal defect with left to right shunting. If detected early by ultrasound, the patient can be saved. No resolution of ST elevation. The T-waves are persistently positive. This remains consistent with PIRP, as was the first ECG. 3) Oliva et al. (4)

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STEMI Pericarditis Myocardial Infarction Cardiogenic Shock 52

GEMMS

JANUARY 2, 2024

Cupid EHR from Epic boasts the following: Cloud-based EHR Offers integrated order entry, scheduling, procedure documentation, structured reporting, and data analytics for cardiology practices Supports a wide range of workflows, including Echocardiograms, Ultrasound vascular, Cardiac Cath, stress testing, Electrophysiology, and structured documentation (..)

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Document Patient Care Private Practice CMS 52

Dr. Smith's ECG Blog

DECEMBER 19, 2023

Two thirds of MINOCA cases are due to atherosclerotic causes One way to prove the diagnosis in this case would have been with intravascular imaging such as optical coherence tomography (OCT) or intravascular ultrasound (IVUS). His echocardiogram showed normal wall motion. Fortunately, that is exactly what happened.

Plaque 119

Plaque Angina Blog Stent 119

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.

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Heart Rhythm Plaque Heart Attack Heart attacks 40

DAIC

APRIL 29, 2024

A study featuring Fujifilm’s OPIE Transducer highlights that the system provides established imaging to aid in septal myectomy procedures compared to TEE and transthoracic echocardiogram (TTE). The OPIE transducer is compatible with Fujifilm’s premium ultrasound system, the ARIETTA Precision.

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Cardiothoracic Open-Heart Surgery Ultrasound Technology 105

Dr. Smith's ECG Blog

OCTOBER 24, 2019

Troponins, echocardiogram An echocardiogram showed inferobasilar hypokinesis, further supporting a diagnosis of regional ischemia , likely of the area supplied by the RCA. Often, intravascular ultrasound or intravascular optical coherence tomography is requeried to make the diagnosis. The initial troponin I was elevated at 0.75

Chest Pain 52

Chest Pain SCAD STEMI Cardiogenic Shock 52

Dr. Smith's ECG Blog

JANUARY 15, 2024

A bedside ultrasound should be done to assess volume and other etiologies of tachycardia, but if no cause of type 2 MI is found, the cath lab should be activated NOW. While awaiting transfer to the cath lab, STAT echocardiogram was performed and showed LVEF 30-35%, as well as anterior, inferior, and apical hypokinesis, and apical thrombus.

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Chest Pain Blog Critical Care Arrhythmia 64

Dr. Anish Koka

SEPTEMBER 24, 2022

The final bit of bad news relates to the common laboratory and imaging tests cardiologists typically use to assess for heart dysfunction.

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COVID-19 Hospital Chest Pain Quality of Life 52

Dr. Smith's ECG Blog

APRIL 12, 2013

He had diffuse crackles on exam and B-lines on chest ultrasound, and chest x-ray also confirmed pulmonary edema. Not all such ECGs represent anatomic aneurysms (on echo this is "diastolic dyskinesis"), but do generally represent an area of dense akinesis on echocardiogram. Blood pressure was 215/124 and HR 115 (on metoprolol).

STEMI 52

STEMI Pulmonary Stents Stent 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

See this case: what do you think the echocardiogram shows in this case? Widespread ST-depression with reciprocal aVR ST-elevation can be cause by: Heart rate related: tachyarrhythmia (e.g., A emergent cardiology consult can be helpful for equivocal cases. POCUS showed good LV-function and no pericardial effusion.

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Ischemia STEMI Stenosis Chest Pain 52