Remove 2020 Remove COPD Remove Wellness
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A Losartan Dream for COPD

Critical Care Now

The Pre-brief Working in a Pulmonary Function Lab plus providing in-patient care within the hospital, I see patients every day that have been diagnosed with chronic obstructive pulmonary disease (COPD). These patients frequently ask if they can be cured of COPD. COPD continues to be a problem for many adults.

COPD 52
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Proportionality is a major element in the ECG Diagnosis of OMI.

Dr. Smith's ECG Blog

And she learned it well: She is not highly confident, but she does diagnose OMI. Figure-1: I've labeled the initial ECG in today's case — as well as enlarging the QRST complex in lead V2. The differential diagnosis for "low voltage" that is frequently put forth by many providers is often limited to COPD and/or pericardial effusion.

EKG/ECG 125
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ECG Blog #366 — Diltiazem didn't work.

Ken Grauer, MD

As a result — IF the 1 lead you are monitoring happens to be one in which P waves are not well seen — then you might assume the irregular rhythm in front of you was AFib. Applying the Above to Today's Case: In addition to being Covid-positive — the patient in today's case had longstanding COPD. Remember — 12 leads are better than one!

EKG/ECG 195
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Case Report: Coronary Vasospasm-Induced Cardiac Arrest

ACEP Now

A 45-year-old male with a history of chronic obstructive pulmonary disease (COPD), asthma, amphetamine and tetrahydrocannabinol (THC) use, and coronary vasospasm presented to triage with chest pain. Cardiac arrest secondary to myocardial ischemia from coronary vasospasm is well documented. N Engl J Med. 1992;326(22):1451-1455.

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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

This topic is additionally complicated by the development of multiple diagnostic tools now available for diagnosis as well as variable sizing algorithms used around the world. Published 2020 Jul 23. Institutional resources and specialty services may further dictate the management of PTX. Cochrane Database Syst Rev. 2020;7(7):CD013031.

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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. of all cases, and 62% of Veritas® misdiagnoses). == MY Comment , by K EN G RAUER, MD ( 1/5/2020 ): == This case illustrates a number of important teaching points. Here is the ECG: What do you think? Computer interpretation is below. Poon et al.

EKG/ECG 52
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Are these Wellens' waves?

Dr. Smith's ECG Blog

This clinical information followed: "The patient had a COPD exacerbation with a prehospital SpO2 of 60%. Many patients with acute COPD exacerbations present with a similar heart rate. This is NOT Wellens. Is the patient hypoxic? The answer was yes. He had respiratory failure, was intubated, and was diagnosed with pneumonia."

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