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In this ECG Cases blog we look at 10 patients with shortness of breath, and discuss how the ECG can be used to help diagnose cardiac, respiratory and metabolic emergencies. We discover that for STEMI/OMI vs subendocardial ischemia, we should look for STEMI(-)OMI, subacute OMI, and OMI in the presence of LBBB and RBBB, and consider the differential for diffuse ST depression with reciprocal ST elevation in aVR.
A 40-something male presented by ambulance with one hour of chest pain that was improving after sublingual nitroglycerine and 325 mg of aspirin, chewed. Here is his initial ED ECG: What do you think? I read this ECG without any history as reperfusing inferior and posterior OMI due to the Q-wave in lead III with minimal STE and reciprocal ST depression in V2-V4 (which should never be there).
== P lease N OTE : After today — No new ECG Blog posts for 2- to -3 weeks. — I will also not be prompt in replying to emails. == All material on this ECG Blog site remains open! The INDEX tab ( in the upper right of each page ) — has linked Contents, listed by subject. So IF you are looking for ECG material — There is plenty on this web site! IF you scroll down a little on the right-hand column of this blog — You'll see a lot of icons.
At Cassling, it’s our philosophy that superior customer service always comes first. So it’s no surprise to us when our customers have amazing things to say about our Field Service Engineers. But what is surprising is that Cassling FSE Ryan Mahler’s service is so superior that his customer reached out to us to congratulate him on reaching his 20-year anniversary.
Speaker: Simran Kaur, Co-founder & CEO at Tattva Health Inc.
AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!
On this month's EM Quick HIts podcast: Anand Swaminathan on EVT for large vessel occlusion strokes, Sarah Reid on picking up intussusception, Andrew Petrosoniak on 5 Penetrating Trauma Tips, Peter Toth on using a slit lamp to manage skin foreign body hack, Nour Khatib and Jonathan Wallace on CT Radiation Risk and Matt Poyner on setting up an emergency fund.
Objective Pulmonary hypertension (PHT) commonly coexists with significant mitral regurgitation (MR), but its prevalence and prognostic importance have not been well characterised. In a large cohort of adults with moderate or greater MR, we aimed to describe the prevalence and severity of PHT and assess its influence on outcomes. Methods In this retrospective study, we analysed the National Echocardiography Database of Australia (data from 2000 to 2019).
A 50-something presented with acute chest pain. Here is her ED ECG. It was texted to me while I was out and about. He wrote: "Steve, what do you think about hyperacute T waves in this? 54-year-old female with CP. I initially interpreted as normal, but I am second-guessing myself, since she is hanging out in triage with me." What do you think, Dear Reader?
A 50-something presented with acute chest pain. Here is her ED ECG. It was texted to me while I was out and about. He wrote: "Steve, what do you think about hyperacute T waves in this? 54-year-old female with CP. I initially interpreted as normal, but I am second-guessing myself, since she is hanging out in triage with me." What do you think, Dear Reader?
The International Journal of Cardiovascular Science (IJCS) is calling for qualified reviewers to join the Reviewers Board. The electronic application form will be available from June 1, 2023 to August 1, 2023. The result will be announced on September 15, 2023 on the journal’s website. You can see all the details in the notice: Notice – Portuguese Notice – English Notice – Spanish O post Call for Reviewers apareceu primeiro em International Journal of Cardiovascular Scien
A national study from Korea published in the European Heart Journal sheds important new light on complications related to COVID vaccine related myocarditis. While US public health authorities have been convinced from the very beginning about how safe and effective the new vaccines are, researchers in other countries with far smaller budgets have been testing that theory.
(Image 1) Why is there no second-degree AVB Mobitz type II and no high-grade AV block? To the first question: Basically, second-degree AV block Mobitz type II is rare. The two ECG patterns that can easily be confused with Type II Mobitz block are: blocked/non-conducted PACs and second-degree AVB Mobitz type I (Wenckebach). ( Image 2) You have to compare the PR duration before the pause and after it.
Objectives Obesity is a globally well-established risk factor for atherosclerotic cardiovascular diseases; however, some studies have witnessed survival benefits among obese patients and this phenomenon is termed ‘the obesity paradox’ Our aim was to evaluate the existence of an obesity paradox in patients with ‘ST-elevation acute coronary syndrome (STE-ACS)’ in our population.
Mount Sinai researchers have developed an innovative artificial intelligence (AI) model for electrocardiogram (ECG) analysis that allows for the interpretation of ECGs as language. This approach can enhance the accuracy and effectiveness of ECG-related diagnoses, especially for cardiac conditions where limited data is available on which to train.
4th June 2023 I have been silent and off-line for a while. I am not unwell, but thanks for asking. There is a court case coming up in the High Court in London on the 3 rd of July. I am suing the Mail on Sunday, along with Zoe Harcombe. This is complex and highly time-consuming case, and there are many sensitive issues on the line. It was reported in the BMJ last year: The controversy over the benefits of statins is set to be aired in the High Court in London, in what the senior libel judge has d
Written by Jesse McLaren A 75 year old with a history of CABG called EMS after 24 hours of chest pain. HR 40, BP 135/70, RR16, O2 100%. Here’s the paramedic ECG (digitized by PMcardio). What do you think? There’s sinus bradycardia, normal conduction, normal axis, delayed R wave progression, and normal voltages. There are inferior Q waves and lead III has mild concave ST elevation, with subtle reciprocal ST depression in I/aVL.
Coronary computed tomography angiography (CCTA) is associated with a similar risk for cardiovascular death and myocardial infarction as direct invasive coronary angiography (ICA) for initial assessment of suspected stable coronary artery disease (CAD), according to a review published online June 6 in the Annals of Internal Medicine.
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