Tag: cardiology

Rhythm Nation April 2015

You are handed this ECG and immediately get up to go see this new patient … why? What are you worried about?       Best answer by Friday 4/17/15 at noon is our winner!

Morning Report: 4/3/2015

Dr. Grock presents today’s Morning Report!   Case: 32 F 18 wks by LMP presents with chest pain: sharp, non-exertional, 7/10, mildly decreased ET, bilat LE edema. VS HR 102, BP 130/74, RR 20, Temp 99.8 oral, O2sat 98% on RA.  …

Rhythm Nation March 2015 – Answer!

Rhythm Nation March 2015 – Answer!   Congratulations to VTACHomas for being first! Excellent discussion from JFreedman and Eschnitz. This is a complicated ECG! Let’s first look at the option of ventricular bigeminy. Ventricular bigeminy has recurring premature ventricular contractions…

Morning Report: 3/31/2015

Thanks to Dr. Kincade for today’s Morning Report!   Wellens Syndrome   Pattern of inverted or biphasic T waves in precordial leads that are specific for critical LAD stenosis Critical stenosis LAD High risk of anterior MI w/o medical tx:…

Rhythm Nation March 2015

26 yo M pmh multiple episodes of syncope as child p/w anxiety symptoms for months. No meds or illicits. His father died at age 39. He has the following dysrhythmia:     Questions: What is this rhythm? What is your…

Morning Report: 2/12/2015

Thanks to Dr. Lewis for today’s Morning Report!   Congestive Heart Failure: Acute Pulmonary Edema   Goal: (1) Preload Reduction (2) Afterload Reduction (3) Inotropic Support   Nitroglycerin short-acting, rapid onset systemic venous and arterial dilator – decreases MAP by…

Rhythm Nation December 2014 – Answer!

This is a tough one and congratulations to the thorough responders. This month’s winner – Dr. Nico Grundmann! To start, TCA ingestion is the most common cause of Na-channel toxicity that we see in ECGs – but this patient was…

Rhythm Nation December 2014

47 year-old female with past medical history of depression and supraventricular tachycardia, brought in by EMS with altered mental status and found with empty pill bottles nearby.   What is the interpretation of this ECG?   What likely happened to this…