Tag: cardiology

Withering Heights: A Tale of Digitalis

Digitalis, a cardiac glycoside, is an age-old drug used since the time of the Romans. It wasn’t until the 18th century when the study of digitalis propelled humankind into the age of modern medicinal therapeutics. The cardiac glycosides are isolated from…

Save of the Month!

This month’s excellent save goes to… Dr. Steven Greenstein! Dr. Greenstein was working during a particularly busy shift in the Critical Care / Trauma area when EMS brought in a patient with a history of prostate cancer and a chief…

EM-Critical Care: Acute Cardiogenic Pulmonary Edema

They were fine yesterday, now they’re drowning!   “Flash” (acute) pulmonary edema is a common critical condition in the emergency department, and it can have multiple precipitating factors and etiologies. After evaluating for acute myocardial infarction, tachydysrhythmias, and valvular pathologies…

Management of RV Failure and Pulmonary Hypertension

By Dr. C. Sterling M.D. Pathophysiology of Right Ventricular Failure   The most common cause of pulmonary hypertension in the U.S. is left-sided heart failure, but many cases of pulmonary hypertension remain undocumented. Pulmonary arterial hypertension is a specific category of pulmonary hypertension…

Rhythm Nation August 2015 – Answer!

Congratulations to Itamar for the best answer and discussion with kudos to Dr. Ben Kaufman as well for the first answer!   This is atrial fibrillation with Wolff-Parkinson-White Syndrome (WPW). Itamar gave a very good discussion of wide-complex tachycardias. In…