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ECG Blog #409 — Every-Other-Beat.

Ken Grauer, MD

The ECG in Figure-1 — was obtained from a patient with palpitations. Figure-1: The initial ECG in today's case. My Interpretation of the ECG in Figure-1: Since the patient is hemodynamically stable — there is time for systematic assessment of the rhythm. Figure-2: I've labeled the initial ECG in today's case. Figure-2 ).

EKG/ECG 441
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ECG Blog #388 — Why Does Lead V1 Look Funny?

Ken Grauer, MD

The ECG in Figure-1 was obtained from an 18-year old woman — who moments before been resuscitated from out-of-hospital cardiac arrest. How would YOU interpret her post-resuscitation ECG? Does this ECG in Figure-1 provide clue(s) to the etiology of this patient's cardiac arrest? QUESTIONS: In light of the above clinical history.

EKG/ECG 370
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An elderly male with acute altered mental status and huge ST Elevation

Dr. Smith's ECG Blog

EKG on arrival to the ED is shown below: What do you think? ng/mL (consistent with prior baseline), and a repeat EKG was obtained 1 hour after the initial EKG. limb lead reversal is now resolved) Unfortunately, QOH V1 got tricked by this second ECG! 2) There was no terminal QRS distortion on these ECGs.

EKG/ECG 116
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Does the literature support medications for stable, monomorphic ventricular tachycardia?

EMDocs

His initial EKG is the following: What do you think? It was published in European Heart Journal in 2017. If procainamide is utilized, a baseline EKG should be obtained to assess the QRS and QTc at baseline. 2017 May 1;38(17):1329-1335. 2017 Apr;52(4):484-492. Great question. Eur Heart J. Am Heart J 1986;111:456462.

EKG/ECG 75
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Four patients with chest pain and ‘normal’ ECG: can you trust the computer interpretation?

Dr. Smith's ECG Blog

All initial ECGs were labeled ‘normal’ or ‘otherwise normal’ by the computer interpretation, and below are the ECGs with the final cardiology interpretation. 1-3] But these studies were very short duration and used cardiology interpretation of ECGs or emergent angiography rather than patient outcomes.

EKG/ECG 119
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VF arrest at home, no memory of chest pain. Angiography non-diagnostic. Does this patient need an ICD? You need all the ECGs to know for sure.

Dr. Smith's ECG Blog

Here is his presenting ECG: ECG 1, t = 0 What do you think? His transfer packet included notes, labs, cath report, and ECG reports, but no actual ECG images. Smith's ECG Blog. When he reviewed the case, he only had access to the accepting facility ECG. He did not have access to ECG 1.

EKG/ECG 118
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A review of the utility of the ECG in Pediatric Syncope

PEMBlog

The majority of these are cardiac and so today we will review what to look for in your screening ECG. This is why ECG is recommended for all initial episodes of syncope with a reported sensitivity as high as 96%. Therefore, what are we looking for with our ECG? Concerning ECG findings Long QT syndrome: QTc longer than 480 msec.