Remove 2023 Remove COPD Remove EKG/ECG
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ECG Blog #366 — Diltiazem didn't work.

Ken Grauer, MD

The ECG and long lead II rhythm strip in Figure-1 — was obtained from a COVID positive patient with persistent tachycardia not responding to Diltiazem. Figure-1: The initial ECG — obtained from a patient with persistent tachycardia. ( To improve visualization — I've digitized the original ECG using PMcardio ).

EKG/ECG 195
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VT? Or Supraventricular tachycardic rhythm with aberrancy?

Dr. Smith's ECG Blog

Here is a normal LBBB: In LBBB, monophasic wide R-waves should be limited to the lateral leads in left bundle branch block, as in this ECG. In that ECG above, there are monophasic R-waves starting in lead V2 all the way out to V6. But why does this EKG look nothing like left bundle branch block? Is this sinus tachycardia or VT?

EKG/ECG 139
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Proportionality is a major element in the ECG Diagnosis of OMI.

Dr. Smith's ECG Blog

This is the result for this ECG, from MDcalc.com : The most accurate cutpoint is 18.2. Here is a similar case from Pendell: This ECG was handed over at triage. link] == MY Comment , by K EN G RAUER, MD ( 12/11 /2023 ): == As per Dr. Smith — the KEY concept in today's case is proportionality. A value above 18.2 (LAD

EKG/ECG 123
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Chest discomfort and a dilated right ventricle. What's going on?

Dr. Smith's ECG Blog

The following ECG was recorded. The presenting ECG shows SR with narrow QRS complexes. First troponin I returned 3174 ng/l, at which point a repeat ECG was ordered. Not much difference from 1st ECG. At this point an old ECG on file was found for comparison. Upon admission she had ongoing slight chest discomfort.

EKG/ECG 116
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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

RV chamber size alone is not enough information to rule-in a PE as RV cavity enlargement can be visualized in other conditions such as pulmonary hypertension, RV infarct, COPD and cardiac arrest from multiple causes. During a short period of ROSC an ECG was performed. EKG RV strain. 2023 May 27;35(2):135-143. 10,11 Vid 1.

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Evaluating Chronic Obstructive Pulmonary Disease

ACEP Now

Chronic obstructive pulmonary disease (COPD) is a chronic disease of the lungs caused by inflammatory and structural changes of the small airways and parenchyma of the lungs that result in chronic airflow obstruction and gas trapping. In 2019, the global prevalence of COPD was estimated to be 10.3 Click to enlarge.

COPD 52
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After seeing this ECG, are there any medications you would consider giving?

Dr. Smith's ECG Blog

Written by Willy Frick A man in his 50s with COPD presented with dizziness and hypotension. Here is his presenting ECG: What do you think? The ECG shows sinus rhythm. Altogether, this ECG is suspicious (but probably not diagnostic) for hyperkalemia. This is an extremely subtle ECG. Repeat ECG was performed.

EKG/ECG 63