This was an interesting case of a male 83 y/o with a HX of Alzheimer's, CAD, CABG, hypothyroidism and HTN. His wife called EMS due to several hours of him...
That's a relatively slow rhythm for a sick patient with atrial fibrillation. Given that and the vomiting, I would say that digoxin toxicity is a possible ...
hi, good case, poor quality LII strip, but obvious af, rate well controlled at 73, typical digoxin st sag noted but if new/changed could be IHD, valvulopathy,...
I agree the rate is a little low for a sick elderly patient but he is also on dig and b-blocker and hx hypothyroid, so depending on which combination of...
I agree Paul, and it's fair to say that whilst slow atrial fibrillation is a characteristic rhythm of digoxin toxicity, the cases I have seen have all had...
http://www.theheart.org/article/745883.do# One in eight ECGs from MI patients are misinterpreted in the ED, data suggest October 6, 2006 Steve Stiles Dallas,...
I don't know the story on this one. Just that the patient had switched to junctional rhythm by EMS arrival (without significant ST deviation) and the patient...
P waves noted in precordials, Lead III; PRI seems to vary, from being short in V1, V2, to being more distant in V4-6. Narrow QRS, but doesn't Lead I look a bit...
Good analysis, James. It's hard to say whether or not the sinus bradycardia (and ultimate junctional rhythm) is secondary to ischemia of the SA node or the...
Stickers??? LOL! :) ... being short in V1, V2, to being more distant in V4-6. ... with very obvious issues). ... picturing a carousel horse's saddle). ... ...
but if the bradycardia is secondary to the Bezold-Jarisch reflex, then Atropine is the anecdote! antidote!! Gustavo E. Flores Bauer, MSIII EMT-P :. ...
That's what a spell checker does for you! :) ... From: gflores911@... To: ekg_club@yahoogroups.com Sent: Sat, 7 Oct 2006 12:14 AM Subject: RE: [ekg_club]...
Tom: Suuuure... James gets a paragraph complimenting his assessment, and after my writings, I get "Stickers???" :) Miss my glorious release of medical...
Ooooooooooooh! Bear with me, I'm slow sometimes! :) I was thinking in terms of, "Nice work, Suzie. Now here's a sticker of a giraffe. In fact, stickers all...
hi all, seems to be either junctional escape or probably isochronic dissociation, we have a p wave with a short PRI and also that does not appear to have a...
Does anyone know whether or not the criteria for a prolonged QTc change in the presence of baseline abnormalities like LBBB or paced rhythm? Does it have the...
this Bradycardia may be misleading.. specially with the absent P waves in the extrimity leads.. but there are P waves in the precordial leads .. it is sinus...
In a message dated 10/8/2006 7:55:37 A.M. Eastern Daylight Time, Station2Medic@... writes: Does anyone know whether or not the criteria for a prolonged QTc...
Could somebody please explain or send me in the direction of learning how does a pacemaker senses the need for a faster rate, if such thing is able to be done...
Gustavo: To analyze any paced rhythm, it is helpful to know what the patient's indication was for a pacemaker, what kind of pacemaker was implanted, and how...
Paul, Thank you very much for this! This could be very important, indeed. I could not find any information about this in ACLS, Chou, or even Braunwald. This ...
LOL! :) That's funny, Paul. I don't think it's heresy! I think it's job security for medical device specialists! There's a reason they get paid so well. Tom B....
A New Paradigm in Ventricular Pacing One-hour, live and interactive webcast Wednesday, Nov. 1, or Thursday, Nov. 2, 2006 Presented by: Michael O. Sweeney, MD ...
Greetings all, I need a little guidance please. My current paramedic text states that lidocaine's effects on the EKG widens the QRS complex and prolongs the...
Derek: Lidocaine is a Class IB antiarrhythmic, and will not widen the QT interval like the Class IA antiarrhythmics (Procainamide, Quinidine). Technically, the...
Dear EKG Club: The American College of Emergency Physicians Scientific Assembly kicks off today in New Orleans. The EM representative to the ACC's Door to...
Thanks for the link Tom. Great EKG's. Andrew Bowman ... From: Station2Medic@... To: ekg_club@yahoogroups.com Sent: Sunday, October 15, 2006 11:36 AM ...
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