Ischemia Nursing Pulmonary 
Dr. Smith's ECG Blog
MARCH 30, 2014
One of my most talented readers is a health care assistant (a nursing assistant) who has taken a keen interest in ECGs. Was there pulmonary edema? Furthermore, there are T-wave changes in V2 and V3 which are highly suggestive of ischemia, but difficult to localize: anterior? And they teach me a lot. He can beat nearly anyone.
Dr. Smith's ECG Blog
AUGUST 3, 2018
In the evening, a middle-aged man complained of chest pain at the nursing home. Nurses found him with a BP of 50/30 and heart rate of 130 and called EMS. He was awake, with a pulse of 130 and BP of 50/30. Fluids were started. The patient arrived alert but cool and clammy. His chest pain was vague. He complained of chronic dyspnea.
DAIC
MAY 16, 2024
If left untreated, PAD may progress to severe forms known as chronic limb-threatening ischemia (CLTI) and acute limb ischemia (ALI). It has been estimated that less than 5% of patients with PAD in the U.S. are prescribed to participate in a supervised exercise program.”
Dr. Smith's ECG Blog
APRIL 8, 2016
Bedside ultrasound showed no effusion and moderately decreased LV function, with B-lines of pulmonary edema. If there is polymorphic VT with a long QT on the baseline ECG, then generally we call that Torsades, but Non-Torsades Polymorphic VT can result from ischemia alone. It would be difficult to get a nurse to give it faster!
Dr. Smith's ECG Blog
JANUARY 9, 2023
CT angiogram chest: no aortic dissection or pulmonary embolism. Serial chest xrays: progressive bilateral pulmonary edema. He spent several days in the PICU, undergoing workup including: Serial troponins: rising from 5,700 ng/L (unknown if I or T) to greater than 25,000 ng/L (greater than the lab's upper limit of reporting).
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