Dr. Smith's ECG Blog

JANUARY 2, 2025

Bedside cardiac ultrasound showed moderately decreased LV function. CASE CONTINUED She was admitted to the ICU. Even with tachycardia and a paced QRS duration of ~0.16 She was intubated. CT of the chest showed no pulmonary embolism but bibasilar infiltrates. LBBB, ventricular pacing, etc.)." J Am Coll Cardiol.

Tachycardia 115

Tachycardia Cardiomyopathy Blog Bradycardia 115

Dr. Smith's ECG Blog

JULY 22, 2012

Interpretation: There is sinus tachycardia, with right bundle branch block (RBBB). Course : A CT of the head, neck, chest, abdomen and pelvis showed no other unanticipated injuries and she was admitted to the ICU. She was pulseless, with a narrow complex tachycardia on the monitor. She was intubated.

Dysrhythmia 52

Dysrhythmia Biomarkers Echocardiogram Ultrasound 52

Dr. Smith's ECG Blog

JULY 12, 2020

So I immediately left the room to get an ultrasound machine. While calling for some help and arranging to have her transported to our critical care zone, I got this quick ultrasound which confirmed my suspicion: This quick view was all I was able to obtain in the circumstances.

Pericarditis 40

Pericarditis Hospital Ultrasound Blood Pressure 40

Dr. Smith's ECG Blog

DECEMBER 13, 2019

in the ICU but survived with excellent function. Beware a negative Bedside ultrasound. The team was notified and they ordered a stat aortagram which showed type A aortic dissection from the aortic valve to the iliacs. Not surprisingly the cardiology HPI changed yet again in the next note following diagnosis of the aortic dissection: ".chest

Pericarditis 52

Pericarditis Chest Pain Aortic Blog 52

Dr. Smith's ECG Blog

JUNE 17, 2024

The patient was upgraded to the ICU for closer monitoring. Cardiac Ultrasound may be a surprisingly easy way to help make the diagnosis Answer: pulmonary embolism. Now another, with ultrasound. and tachycardia, 1.8. Echocardiogram showed severe RV dilation with McConnell’s sign and an elevated RVSP. What is the Diagnosis?

Chest Pain 138

Chest Pain Embolism Pulmonary Tachycardia 138

Dr. Smith's ECG Blog

APRIL 9, 2025

On arrival in the ED, a bedside ultrasound showed poor LV function (as predicted by the Queen of Hearts) with diffuse B-lines. I don't know what the device algorithm interpretation stated. I am not certain if there was a prehospital cath lab activation, but there should be. Initial BP was 120/96, HR 102, SpO2 98%.

Defibrillator 62

Defibrillator Cardiac Arrest Myocardial Infarction STEMI 62