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ECG Blog #366 — Diltiazem didn't work.

Ken Grauer, MD

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 ).

EKG/ECG 195
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Is all this "ST Depression" due to ischemia?

Dr. Smith's ECG Blog

Written by Magnus Nossen, with some edits by Smith This ECG was transmitted electronically by EMS for evaluation. How would you interpret the ST changes seen in this ECG? Will you accept this patient for emergent coronary angiogram based on the ECG changes? Does the ECG represent STEMI-negative OMI findings?

EKG/ECG 62
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Proportionality is a major element in the ECG Diagnosis of OMI.

Dr. Smith's ECG Blog

This is the result for this ECG, from MDcalc.com : The most accurate cutpoint is 18.2. Here is a similar case from Pendell: This ECG was handed over at triage. That said — the ST-T wave in lead V2 looks to be small only if viewed in the context of its absolute height, as one of 12 leads in the initial ECG shown above in today's post.

EKG/ECG 98
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VT? Or Supraventricular tachycardic rhythm with aberrancy?

Dr. Smith's ECG Blog

Here is a normal LBBB: In LBBB, monophasic wide R-waves should be limited to the lateral leads in left bundle branch block, as in this ECG. In that ECG above, there are monophasic R-waves starting in lead V2 all the way out to V6. He also had a history of lung cancer with pneumonectomy and COPD. Is this sinus tachycardia or VT?

EKG/ECG 124
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Massive Hemoptysis

EM SIM Cases

Case Summary This is a case of a 57-year-old male with former smoking history, COPD on home O2, atrial fibrillation on anticoagulation coming into a community emergency department (ED) with symptoms consistent with COPD exacerbation. His initial presentation will respond to traditional therapies for COPD exacerbation.

COPD 52
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ECG of the Week 13th October 2021 – Answer

EMergucate

The patient has a background of COPD and … Continue reading → A 60 year old female presents to ED after a heroin OD.

COPD 52
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Valvular Emergencies

EB Medicine

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 (..)

COPD 52