2019 COPD Documentation/Coding 
Ken Grauer, MD
FEBRUARY 28, 2023
Figure-2: I've color-coded P waves from Figure-1 according to P wave morphology ( See text ). NOTE: For clarity — I've color-coded P waves in the long lead II rhythm strip according to morphology. Applying the Above to Today's Case: In addition to being Covid-positive — the patient in today's case had longstanding COPD.
Dr. Smith's ECG Blog
OCTOBER 12, 2024
A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to the emergency department after being found unresponsive at home. The providers documented concern for ST elevation in the precordial and lateral leads as well as a concern for hyperkalemic T waves in the setting of succinylcholine administration. ng/mL and 0.10
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Dr. Smith's ECG Blog
FEBRUARY 28, 2020
This clinical information followed: "The patient had a COPD exacerbation with a prehospital SpO2 of 60%. These points have been emphasized in many previous posts on Dr. Smith’s blog ( See the April 5, 2019 post , including My Comment at the bottom of that page ). This is NOT Wellens. Is the patient hypoxic? The answer was yes.
Dr. Smith's ECG Blog
JANUARY 5, 2020
This 60-something with h/o COPD and HFrEF (EF 25%) presented with SOB and chest pain. See below how this has been documented. IJC Heart and Vasculature 25(2019). Here is the ECG: What do you think? Computer interpretation is below. Many arrhythmias will prove uninterpretable — IF only 1 or a few leads are used. GET a 12-lead!
EMDocs
FEBRUARY 12, 2024
Louis); Marina Boushra, MD (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case Emergency Medical Services brings in a 62-year-old male with COPD in acute on chronic hypoxemic respiratory failure (usually on 3 L nasal cannula, now on non-rebreather at 15 L/min).
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