Hi Guys, Patient was a male, 53 years old, smoker with no cardiac history (he later stated his dad had heart problems). He was chopping wood when acute onset...
Looks like anterioseptal STEMI with reciprocal changes and ventricular bigeminy. Although, the configuration of those extrasystolic beats look a bit weird. I'm...
yeah for klaus, like I keep repeating that refractory, automaticity, excitability nature of cardiac muscle comes in handy when you are trying to figure out...
3SDs for you Paul! I see ectopy like this frequently in our high risk study patient population. It is disturbing but it happens without the person having any...
Paul - You DO write record-breakingly long sentences, but they're still great to read, as I very much enjoy your clinically-oriented way of thinking and how ...
I visited the patient in the ICU today, he was sitting up in bed chatting on the phone. He went to the cath lab about 10 minutes after that EKG was taken. They...
Not just bigeminy: the QRS that follows the p wave is RBBB with massive amount of ST elevation--good case! ... -- Stephen W. Smith, MD Faculty Emergency...
Can I put this on my ECG blog? If so, to whom should I attribute it? http://hqmeded-ecg.blogspot.com/ ... -- Stephen W. Smith, MD Faculty Emergency Physician ...
Also, this is not inferior ST elevation (except a tiny bit, maybe, in II). What appears to be ST elevation in the first (the sinus complex, not the PVC ...
There is ST elevation, not depression, in I and aVL ... -- Stephen W. Smith, MD Faculty Emergency Physician Hennepin County Medical Center Associate Professor...
Hi Stephen, You may use it on your blog, no problems. Credit please to Dave - http://tassieparamedic.blogspot.com/ The initial 12 lead (we use an Philips...
*Mission: Lifeline Recommendations for Criteria for STEMI Systems of Care *http://www.americanheart.org/presenter.jhtml?identifier=3061630* * -- Tom Bouthillet...
You are dispatched to an "unknown medical complaint." En route to the scene, dispatch advises you that a 66 year old male is complaining of a fall with injury,...
Yes patient needs to go to the hospital or at least his family doctor for immediate work up and exam. Syncopial episode may be caused by blood pressure...
Patient is likely having transient complete heart block as he has RBBB, LAFB and 1st degree AVB. Lac on chin tells me he collapses suddenly and with little to...
Paul (PB) and Nick are having way too much fun with my compositional eccentricity, , anyway, here's a real short answer to Tom's 3 questions; 1-Yes,...
That's great! I can read it on my Blackberry without getting dizzy. You know we are just teasing but if we could analyze handwriting via punctuation and...
LOL Nick, I know you guys are just "bustin my chops" as we would say on Lawng Gyeland, I guess I pretty much write email the way I talk, very fast, and on...
Paul - Can transient 3AVB with underlying bifascicular block be considered a Stokes-Adams attack? I did some reading online and it said Stokes-Adams is usually...
James - Yes, but I usually reserve the term for those occasions where a patient with these findings is confirmed as experiencing transient 2AVB or 3AVB. I know...
hi tom, generally stokes-adams (or adams-stokes in some references) is a cardiac induced drop attack, ie, no prodrome, sudden onset, sudden spontaneous ...
Additionally I posted a journal article recently with new definitions of certain things, the details I don't recall, that stated the term trifasicular block...
Along with everyone's answers I would also recommend looking into HTN medication error. Since it has happened at night then the next morning, the pharmacy may...
This is an excellent example of how reciprocal changes remove all doubt when an abnomal T-wave in isolation would be inconclusive. Tom Sent from my iPhone...
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