Remove EKG/ECG Remove Research Remove Wellness
article thumbnail

What makes a T-wave Hyperacute? And: 30 Examples of Hyperacute T-waves, 10 in each of 3 myocardial territories.

Dr. Smith's ECG Blog

The way to get good at it is to see a lot of them, and also see a lot of fake HATWs (mimics) Here is a difficult pair of ECGs that demonstrate a difference: One ECG is normal variant STE. The more abnormal leads and lead areas you can identify in a given ECG — the more solid the evidence of acute OMI becomes. Which is which?

EKG/ECG 133
article thumbnail

ToxCard: Second Generation Antipsychotic Overdose

EMDocs

1,2 Neuroleptic malignant syndrome (NMS) (hyperthermia, autonomic instability, rigidity, altered mental status [AMS]) can occur as well and is most often seen with clozapine but has been observed with other atypicals. 1,2 Cardiovascular: Obtain an initial EKG to determine the patient’s baseline and repeat. 1 Class IA (e.g.,

Poisoning 109
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

The Study of the Week Is a Beautiful Example of Science Done Well

Sensible Medicine

The AF episodes we see on an ECG were simply manifestations of atrial disease. Along with a team of researchers at numerous hospitals, they randomized ≈1000 patients who had had stroke of unknown cause and evidence of atrial cardiopathy to either treatment with an oral anticoagulant (apixaban) vs aspirin. (If It made sense.

Wellness 132
article thumbnail

Cardiac Rhythms/ECG Module

Don't Forget the Bubbles

Add into this that the majority of children will be in normal sinus rhythm (NSR) by the time of assessment so to truly identify those who have something wrong we have to be confident in identifying arrhythmias where they are present and critical when analysing an ECG in NSR. All were examined and 98% had an ECG. Family history.

EKG/ECG 98
article thumbnail

An elderly male with shortness of breath

Dr. Smith's ECG Blog

ECG 1 at time zero EARLY REPOLARIZATION ABNORMAL ECG ED final official overread: "early repol vs hyperacute T, minimal changes from previous (previous shown below)" What do YOU think? Thus, the LAD has reperfused ("recanalized") spontaneously Queen on ECG 2: Not OMI, Low confidence She is also worried about V2.

EKG/ECG 117
article thumbnail

46 year old with chest pain develops a wide complex rhythm -- see many examples

Dr. Smith's ECG Blog

These diagnoses were not found in his medical records nor even a baseline ECG. An ECG was obtained shortly after arrival: What do you think? There is no evidence of WPW on this ECG, but it is diagnostic for OMI. If the LAD is completely occluded, then why does the ECG show reperfusion? What are we seeing here?

EKG/ECG 108
article thumbnail

OMI Pocket Guide

Dr. Smith's ECG Blog

OMI Pocket Guide The OMI Pocket Guide ( [link] ) is a user-friendly online resource designed to help healthcare professionals learn how to recognize subtle signs of acute coronary occlusion on the ECG which represent occlusion myocardial infarctions (OMI). Smith and Meyers ( that are well known to readers of this Blog ).

EKG/ECG 91