Everything you need to know about ECGs in the Emergency Department
Shout out to Dr. Blumenberg for correctly answering December’s case! ^_^ Here’s the original ECG in question: ECG: This is a regular narrow QRS-complex rhythm with a rate of approximately 36 bpm. The lack of discernable P waves preceding the QRS complexes indicates that this is neither a sinus or Read more…
Happy holiday bloggers! The year would not be complete without one more exciting ECG for your curious minds to ponder. So without further ado, here is the case: A 71 year-old man with PMH significant for HIV on HAART, IVDU, HTN, COPD, CKD is sent from HIV clinic for bradycardia. Read more…
Digoxin strikes again! Job well done. You nailed it. Let’s discuss. Job well done bloggers! P.S. I mustache for more puns in future posts… References: Jon B. Cole and David J. Roberts. Cardiovascular Drugs. Rosen’s Emergency Medicine, Chapter 152, 1982-1993.e2 Levine M, Read more…
Faithful Bloggers! Rhythm Nation returns for another installment of critical analysis of the interesting ECGs from Kings County. Batter up! 63F h/o HTN, HL, DM, CAD, AFib (warfarin) CHF (EF 35%) presents to King’s County for “high blood pressure”. Lucky for you, the patient brings a large bag of all Read more…
Good job, Eden Kim, for correctly Identifying pulmonary hypertension on EKG!! Let’s talk about pulmonary fibrosis and pulmonary hypertension and their prominent electrocardiographic findings. Idiopathic Pulmonary Fibrosis History usually >50 years old progressively worsening dyspnea and non-productive cough history of cigarette smoking seems to be a risk factor Pulmonary Read more…
Hello bloggers! Time for another segment of the Rhythm Nation where we look at interesting cases and critically analyze difficult ECGs from our department. Here is the first case of the year: 46 year-old man with history of “some heart failure,” longstanding, uncontrolled HTN, NIDDM, HLD who was sent to Read more…
. . . . For more information on understanding the risk factors and pathophysiology of Torsades de Points, I found this textbook very helpful: Clinical Arrhythmology and Electrophysiology: A Companion to Braunwald’s Heart Disease(see citation below). Reviewed by Dr. deSouza .
Happy Holidays avid Rhythm Nation followers! Time for the December edition of the blog. This month’s will be a little different but still should be interesting nonetheless! Here is our case: A 57 year-old man with PMH of HTN, DM, HLD, MI, methadone dependence and ESRD was transferred from his Read more…
Well put Sebastian! If you are thinking massive PE then you are correct! (Follow this LINK to the initial post, with ECGs and question.) Definition of massive pulmonary embolism (PE) is a PE with cardiac arrest, systemic hypotension (SBP < 90mmHg or drop in SBP of at least 40mmHg Read more…
A 19 yo male PMH sickle cell disease presents with body aches and joint pains x 2 days. Symptoms feel similar to prior acute vaso-occlusive crises. On ROS, he also notes chest pain and SOB starting 1 day prior to arrival. He is afebrile rectally, SaO2 95% on room air, Read more…