ECG Guru

JULY 30, 2023

Complex ECGs like this one have to be approached systematically. Firstly, we can see a normal sinus rhythm. A is the first beat of a wide complex tachycardia. This must be a ventricular tachycardia. Although there is a P-wave before the first beat of the tachycardia, it is not premature. Therefore, there is no SVT with aberrant conduction. The first beat of the tachycardia looks different from the subsequent beats because there is a fusion beat present.

Tachycardia 98

Tachycardia 98

Heart Sisters

JULY 30, 2023

Doctors, next time you’re seeing a freshly-diagnosed heart patient for a follow-up appointment, please remember that we’re far more than just a major organ that’s undergone a procedure.

Heart Attack 52

Heart Attack Heart attacks Heart Disease 52

EMS 12-Lead

JULY 30, 2023

David Didlake, FF/EMT-P, AG-ACNP @DidlakeDW An elder female presented to the ED with worsening shortness of breath. She was known to have a history of poorly controlled COPD, AFib, and multivessel coronary disease. Specific to the latter, she was previously deemed not appropriate for CABG (complex rationale) with preference for optimized medical management, instead.

Atrial Fibrillation 52

Atrial Fibrillation AFIB Pharmacology Echocardiogram 52

ECG Guru

JULY 30, 2023

The Patient: This ECG is from a 63-year-old man who complained of epigastric pain for three hours. The pain was sudden in onset, burning in nature, and accompanied by nausea and palpitations. The patient is a heavy smoker, diabetic and hypertensive with a long history of non-compliance to his medications. He was given crushed aspirin, loaded with clopidogrel and heparin, given high-intensity statins, and rushed to the cath lab.

Ischemia 52

Ischemia Diabetes Hypertension 52

Dr. Smith's ECG Blog

JULY 30, 2023

Written by Pendell Meyers A woman in her 50s presented with acute chest pain and lightheadedness since the past several hours. Here is her triage ECG during active symptoms: What do you think? The ED physician read this as "Normal sinus rhythm. LVH. Marked ST abnormality, possible anterior subendocardial injury." Smith : I suspect this was a confirmation of the conventional computer interpretation.

Chest Pain 52

Chest Pain Ischemia STEMI Arrhythmia 52