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ECG Blog #432 — "Should I Shock this Patient?"

Ken Grauer, MD

I was sent the ECG in Figure-1 — without the benefit of any history. Figure-1: I was sent this ECG without any history. MY Thoughts on Today’s CASE: As tempting as it might be to reach for the defibrillator on seeing the ECG shown in Figure-1 — My initial reaction was different. No shock was needed. Is this VT?

Shock 414
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ECG Blog #443 — A 40s Man with CP and Dyspnea

Ken Grauer, MD

The ECG in Figure-1 was obtained from a man in his 40s — who presented to the ED ( E mergency D epartment ) because of CP ( C hest P ain ) and shortness of breath. QUESTIONS: In view of the above history — How would YOU interpret the ECG in Figure-1 ? Based on the history and the patient's initial ECG — the cath lab was activated.

EKG/ECG 394
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ECG Blog #452 — Is this Wide QRS Rhythm VT?

Ken Grauer, MD

The patient whose ECG is shown in Figure-1 — presented with acute dyspnea and hypotension. Figure-1: The initial ECG in today's case. ( I have previously reviewed a number of cases of "Shark Fin" morphology ( Se e ECG Blog #364 — Blog #410 — Blog #265 — among others ). Figure-2: I've labeled the initial ECG in today's case.

EKG/ECG 282
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ECG Blog #449 — Isorhythmic AV Dissociation?

Ken Grauer, MD

The ECG in Figure-1 — was obtained from a 45-year old man with diabetes, who was being treated for septic shock. QUESTIONS: How would YOU interpret the ECG in Figure-1 ? Figure-1: The initial ECG in today's case. What is the rhythm? Why does QRS morphology in the long lead II rhythm strip change every-other-beat?

EKG/ECG 266
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ECG Blog #453 — Is this Wellens' Syndrome?

Ken Grauer, MD

The ECG in Figure-1 was obtained from a middle-aged man who presented with a 2 week history of progressively increasing CP ( C hest P ain ) with exertion. He had his most severe episode of CP the day before he was seen with this ECG. An initial Troponin drawn less than 1 hour after the ECG in Figure-1 was recorded was over 10,000.

EKG/ECG 238
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Sudden shock with a Nasty looking ECG. What is it?

Dr. Smith's ECG Blog

She was found by medics agitated, hypotensive, diaphoretic, and in shock. There were 2 prehospital ECGs: What do you think? When I was shown this ECG, I said it looks like such widespread ischemia that is might be a left main occlusion, or LM ischemia plus circumflex occlusion (high lateral and posterior OMI).

Shock 122
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ECG Blog #400 — Is this a NSTEMI?

Ken Grauer, MD

The ECG in Figure-1 is from an older man with known coronary disease — who presents to the ED ( E mergency D epartment ) with new CP ( C hest P ain ) over the past several days. QUESTIONS: In view of this history — How would you interpret the ECG in Figure-1 ? Figure-1: The initial ECG in today's case. Troponin is pending.

EKG/ECG 248