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.

Echocardiogram 52

Echocardiogram Cardiomyopathy Ultrasound STEMI 52

DAIC

JANUARY 16, 2024

Developed at Children’s National Hospital and detailed in the latest edition of the Journal of the American Heart Association , the new AI system combines the power of novel ultrasound probes with portable electronic devices installed with algorithms capable of diagnosing RHD on echocardiogram.

Heart Disease 105

Heart Disease Ultrasound Technology Echocardiogram 105

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.

Cardiothoracic 105

Cardiothoracic Open-Heart Surgery Ultrasound Technology 105

Cassling

JUNE 20, 2024

This is the world’s only AI platform built on the world’s largest database of echocardiograms linked to mortality. One of our partners, Echo IQ, recently sought FDA approval for their AI-based cardiology workflow, EchoSolv.

Ultrasound 52

Ultrasound Echocardiogram Outcomes Blog 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.

Echocardiogram 52

Echocardiogram Ischemia Chest Pain Blog 52

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.

Ultrasound 119

Ultrasound Coronary Artery Disease Innovation Heart Failure 119

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.

Ultrasound 98

Ultrasound Tricuspid Bicuspid/Mitral Aortic 98

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.

Echocardiogram 52

Echocardiogram Pulmonary Cardiomyopathy Coronary Artery Disease 52

All About Cardiovascular System and Disorders

MAY 3, 2024

Usual colour Doppler echocardiogram is superimposition of colour Doppler images on a two dimensional echocardiogram. Colour M-Mode is superimposition of colour Doppler images on an M-Mode echocardiogram. Colour Doppler echocardiography receives the ultrasound signals reflected from moving red blood cells in the heart.

Ultrasound 52

Ultrasound Echocardiogram VSD Stenosis 52

Dr. Smith's ECG Blog

JANUARY 2, 2025

Bedside cardiac ultrasound showed moderately decreased LV function. EKG with paced complexes shown below shows much narrower QRS complex and echocardiogram showed improved LV systolic function primarily due to improvement in LV dyssynchrony. (J She was intubated. CT of the chest showed no pulmonary embolism but bibasilar infiltrates.

Tachycardia 116

Tachycardia Cardiomyopathy Blog Bradycardia 116

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.

Cardiogenic Shock 59

Cardiogenic Shock Quality of Life Heart Failure Laboratory 59

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

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.

Echocardiogram 52

Echocardiogram Bicuspid/Mitral Aortic Research 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.

Embolism 40

Embolism Pulmonary Ultrasound ICU 40

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.

Atrial Fibrillation 105

Atrial Fibrillation Ablation Heart Rhythm Blood Clot 105

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.

STEMI 52

STEMI Pericarditis Hospital Aneurysm 52

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.

Chest Pain 139

Chest Pain Embolism Pulmonary Tachycardia 139

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 (..)

Cardiac Arrest 52

Cardiac Arrest Echocardiogram Ultrasound 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

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.

Dysrhythmia 52

Dysrhythmia Biomarkers Echocardiogram Ultrasound 52

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

Dr. Smith's ECG Blog

JULY 7, 2013

If detected early by ultrasound, the patient can be saved. Our own Dave Plummer of HCMC reported on survival of 2 of 6 patients with free wall myocardial rupture diagnosed by bedside ultrasound in the ED.(3) An echocardiogram showed no hemopericardium, but did show a new small ventricular septal defect with left to right shunting.

STEMI 52

STEMI Myocardial Infarction Pericarditis Ultrasound 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).

Plaque 66

Plaque Stents Stent Chest Pain 66

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

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)

STEMI 52

STEMI Pericarditis Myocardial Infarction Cardiogenic Shock 52

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.

Pericarditis 40

Pericarditis Cancer Blood Pressure Heart Valves 40

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.

Bicuspid/Mitral 40

Bicuspid/Mitral Echocardiogram Tricuspid Aortic 40

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 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. 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.

Chest Pain 40

Chest Pain Ultrasound Risk Factors STEMI 40

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 127

Plaque Angina Blog Stents 127

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. 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.

Stroke 52

Stroke Strokes Blood Clot AFIB 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).

Heart attacks 52

Heart attacks Heart Attack Heart Rhythm Exercise 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.

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

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

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