Dr. Smith's ECG Blog

JANUARY 5, 2024

On intravascular ultrasound (IVUS), the mid RCA plaque was described as "cratered, inflamed, and bulky," and the OM plaque was described as "bulky with evidence of inflammation and probably ulceration." Additional findings: No ST elevation." From angiography, it is not clear what the culprit is. The basic facts are these: Morphine works.

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Angina Plaque Document Stents 121

Dr. Smith's ECG Blog

OCTOBER 10, 2022

Cardiac Ultrasound may be a surprisingly easy way to help make the diagnosis Answer: pulmonary embolism. Now another, with ultrasound. The ECG accurately reflects the physiologic state of the underlying myocardium, but there is always more than one possible etiology of that physiologic state. What is the Diagnosis?

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Cardiac Arrest Chest Pain Embolism Pulmonary 52

DAIC

MARCH 21, 2024

For example, by integrating Ventripoint’s AI-powered heart-scanning technology, which turns ultrasound images of the heart into MRI-quality heart images, InView provides pediatric cardiologists with access to MRI-quality heart images at a fraction of the cost and time needed for traditional MRIs.

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Pediatrics Outcomes Patient Care Anatomy 86

Dr. Smith's ECG Blog

APRIL 20, 2018

Given her risk factors (HTN, HLD, ESRD from diabetes) I decided to obtain a broad cardiac workup for the patient: serial ECGs, labs, serial troponins, CXR and bedside cardiac ultrasound. Ultrasounds can be very helpful in guiding your diagnostic pathway: location of WMA on US led to obtaining posterior leads.

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Chest Pain Ultrasound Risk Factors STEMI 40

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Smith comment: This patient did not have a bedside ultrasound. Had one been done, it would have shown a feature that is apparent on this ultrasound (however, this patient's LV function would not be as good as in this clip): This is recorded with the LV on the right. In fact, bedside ultrasound might even find severe aortic stenosis.

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Ischemia Cardiogenic Shock Aortic Stenosis 40

Dr. Sanjay Gupta

MARCH 6, 2022

This is an ultrasound (a bit like the type that we use on pregnant women to look at the baby). An ultrasound will allow you to visualise the heart, measure the sizes of the chambers, assess the heart valves and work out how well the heart functions as a pump. An echo is easy to do, risk free and easily accessible.

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Heart Attack Heart attacks Heart Rhythm Exercise 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.

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Pericarditis Hospital Ultrasound Blood Pressure 40

Dr. Sanjay Gupta

DECEMBER 19, 2022

Genetics and physiological stress are also risk factors. Then I think it is important that patient has an assessment of the function of the heart by means of an ultrasound to look for cardiomyopathies, Takotsubo etc. myocarditis), and blood clotting disorders.

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Heart Attack Heart attacks Blood Clot Chest Pain 40

Dr. Smith's ECG Blog

APRIL 3, 2019

Case continued: All the physicians were very worried about LAD occlusion and recorded a couple bedside ultrasounds: This shows a profound apical and septal wall motion abnormality, perfectly consistent with LAD OMI. These ultrasounds confirm LAD occlusion. This T wave progression sequence does not make physiologic sense.

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STEMI Chest Pain Ischemia Aneurysm 40

Dr. Smith's ECG Blog

FEBRUARY 12, 2023

So we did a bedside cardiac ultrasound. PEARL #3: There is a physiologic reason why pulmonary hypertension from advanced RVH may result in a qR pattern in lead V1 ( Figure-2 ). I looked through her chart and found a formal echo from the last visit showing "Severe right ventricular enlargement and decreased RV systolic function".

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Pulmonary Chest Pain Hypertension Tricuspid 40

Dr. Smith's ECG Blog

OCTOBER 7, 2019

They did not have an ultrasound on the ambulance (some local crews are starting to utilize POC limited US in our service areas). Case continued EMS immediately transported, activated the cath lab and gave 324 mg aspirin en route. It was about a 7 minute transport time.

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Bradycardia STEMI Cardiogenic Shock Ischemia 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Fourth, syncope in the elderly often results from polypharmacy and abnormal physiologic responses to daily events.

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Arrhythmia Outcomes Risk Factors Chest Pain 52