Ken Grauer, MD
MAY 31, 2024
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?
Ken Grauer, MD
AUGUST 16, 2024
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.
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Dr. Smith's ECG Blog
JUNE 17, 2024
Pain improved to 1/10 after EMS administers 324 mg aspirin and the following EKG is obtained at triage. If this EKG were handed to you to screen from triage without any clinical information, what would you think? Do you appreciate any dynamic changes compared to the patient’s prior EKG? What do you think? In fact, Kosuge et al.
Dr. Smith's ECG Blog
OCTOBER 8, 2024
The first EKG is from 2:30 PM on the day of presentation to the ER. My eyes would bulge within a second of viewing this ECG. I texted this to our group "EKG Nerdz," asking "Do you think that anyone could miss this?" No repeat ECG was recorded. The EKG was not repeated until 7 AM the next morning, about 16 hours later.
Dr. Smith's ECG Blog
SEPTEMBER 5, 2024
The VSR is what is causing the cardiogenic shock! Since serial ECGs are not available so either of the two patterns described above could be present (only serial ECG could differentiate). Post infarction regional pericarditis (PIRP) can be suspected from the ECG and is associated with an increased risk of myocardial rupture.
Ken Grauer, MD
OCTOBER 21, 2023
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.
Dr. Smith's ECG Blog
MARCH 7, 2024
A young man presented with a gunshot wound to the right chest, with hemo-pneumothorax and hemorrhagic shock. But he did get an EKG: What is this? Figure-1: The ECG sent to Ken Grauer ( showing some semblance of "group" beating ). He got a chest tube and intubation and massive transfusion and stabilized. Formal echo was normal.
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