Dr. Smith's ECG Blog

AUGUST 18, 2024

Written by Pendell Meyers A man in his 70s presented with history of pacemaker presented with shortness of breath with exertion and presyncope. Here is his triage ECG with minimal symptoms: What do you think? The ECG shows pacemaker failure with inability to capture or sense, with either underlying atrial fibrillation or junctional escape rhythm. The QRS shows LVH and there are diffuse ST-T abnormalities likely in part appropriate for the LVH, though memory T waves are also a consideration.

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Pacemaker AFIB Atrial Fibrillation 90

HCPLive

AUGUST 18, 2024

A randomized clinical trial found significant improvements in key blood parameters for anemia after grape syrup intervention compared with placebo.

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ECG Guru

AUGUST 18, 2024

We see an ECG with the limb leads and V1/V2. It shows a normal sinus rhythm with 1. degreeAV block and 1 conducted and 1 nonconducted PAC before the pause. There is a short pause in the middle of the ECG, how can this be explained? On closer inspection, a PAC can be seen in the ST segment/at the beginning of the T wave. This cannot be conducted due to the short coupling interval.

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CardiacWire

AUGUST 18, 2024

The White House finally unveiled its negotiated Medicare drug prices , bringing 38%-76% reductions to the first 10 drugs, while drawing mixed industry reactions. Medicare drug price negotiations are one of the highlighted results of 2022’s Inflation Reduction Act, allowing CMS to negotiate drug prices for the very first time. Between 2026 and 2029, CMS will select 60 targeted meds based on a range of factors (costs, usage, “single-source,” lack of generics, etc.) and negotiate their Medicare “ma

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Medicare CMS Drug Costs Diabetes 59

EMS 12-Lead

AUGUST 18, 2024

David Didlake EMT-P, RN, ACNP @DidlakeDW An adult male self-presented to the ED with palpitations and the following ECG. The patient was very uncomfortable, dyspneic, and displayed an SpO2 90% on RA. He denied any known history of CAD, but did report ASCVD risk factors to include HTN, HLD, and DM. Of interest, he specified that he awoke earlier that morning in his usual state of health, then developed chest discomfort, then developed palpitations.

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Tachycardia Blog RN Echocardiogram 59

Heart Sisters

AUGUST 18, 2024

Personal tips from an experienced open heart surgery patient to help you in the hospital, when you’re going back home, and long afterwards.

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Open-Heart Surgery Hospital Heart Disease Stents 57

Circulation

AUGUST 18, 2024

Circulation, Volume 150, Issue 8 , Page 583-585, August 20, 2024.

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Congenital Circulation 85

Circulation

AUGUST 18, 2024

Circulation, Volume 150, Issue 8 , Page e199-e199, August 20, 2024.

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Circulation 49

HeartRhythm

AUGUST 18, 2024

A lack of standard Bachman Bundle(BB) capture criteria has affected the clinical impact of Bachmann Bundle Area Pacing(BBAP) in patients with inter-atrial block(IAB).

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Circulation

AUGUST 18, 2024

Circulation, Volume 150, Issue 8 , Page e197-e197, August 20, 2024.

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Circulation 49

Circulation

AUGUST 18, 2024

Circulation, Volume 150, Issue 8 , Page e181-e182, August 20, 2024.

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Article Ultrasound Circulation 49

Circulation

AUGUST 18, 2024

Circulation, Volume 150, Issue 8 , Page 651-656, August 20, 2024.

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Circulation 49

Circulation

AUGUST 18, 2024

Circulation, Volume 150, Issue 8 , Page e198-e198, August 20, 2024.

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Cardiomyopathy Circulation 45