COPD EKG/ECG Shock 
Ken Grauer, MD
FEBRUARY 28, 2023
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 ).
EB Medicine
AUGUST 6, 2022
Aortic Valve Disease Types and causes Mitral Valve Disease Types and causes Tricuspid and Pulmonic Disease Differential Diagnosis acute coronary syndromes (ACS) pulmonary embolism tamponade chronic obstructive pulmonary disease (COPD) pneumonia pneumothorax Prehospital Care Evaluation of chest pain History Shock ED Evaluation History Aortic Stenosis (..)
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Dr. Smith's ECG Blog
SEPTEMBER 17, 2023
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.
Dr. Smith's ECG Blog
MARCH 12, 2018
Written by Pendell Meyers, with edits from Steve Smith Let's consider this nearly pathognomonic ECG without the clinical context (because sometimes the clinical context will not be as easy as in this case). This ECG is diagnostic of hemodynamically significant acute right heart strain. What is the answer? Why is it not Wellens???
EMDocs
APRIL 22, 2024
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. 10,11 Vid 1. SubX4 Asystole RV > LV.
Dr. Smith's ECG Blog
NOVEMBER 28, 2022
Given her reported chest pain, shortness of breath, and syncope, an ECG was quickly obtained: What do you think? Given her tachycardia and episodes of syncope, the patient was judged to be in compensated obstructive shock with very high risk of imminent decompensation. For clarity in Figure-1 — I've reproduced her initial ECG.
Dr. Smith's ECG Blog
NOVEMBER 19, 2016
It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. An immediate 12-lead EKG was obtained: There is ST elevation in leads aVR and V1, with marked ST depression in I, II, III, aVF, V3-V6. What should be done?
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