Remove 2019 Remove COPD Remove Stroke
article thumbnail

An elderly male with acute altered mental status and huge ST Elevation

Dr. Smith's ECG Blog

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. CTA head and neck were obtained and showed no evidence of intracranial hemorrhage, large vessel occlusion stroke (what a helpful and apt name for an acute arterial occlusion paradigm, by the way.),

EKG/ECG 116
article thumbnail

Atrial fibrillation? Multifocal Atrial Tachycardia? Don't look at computer read until AFTER you interpret!

Dr. Smith's ECG Blog

This 60-something with h/o COPD and HFrEF (EF 25%) presented with SOB and chest pain. IJC Heart and Vasculature 25(2019). Here is the ECG: What do you think? Computer interpretation is below. Poon et al. sensitivity and 98.9% Many arrhythmias will prove uninterpretable — IF only 1 or a few leads are used. GET a 12-lead!

EKG/ECG 52
article thumbnail

Diagnostics: Intractable Hiccups

Taming the SRU

Other causes include gastritis, gastric malignancy, pancreatitis, hiatal hernia, SBO, large meal, spicy foods, and carbonated drinks Neurologic Stroke, space occupying lesion, epilepsy, CNS infection, demyelinating and neurodegenerative disorders such as multiple sclerosis and Parkinson’s disease are causes of intractable hiccups.

Stroke 86