Kudos to Dr. Beth Hanson. One of our recently graduated fourth-year residents, who will be an attending in Colorado, went above and beyond the call of duty just a few weeks ago. Dr. Aleksandr Gleyzer nominated Dr. Hanson for acknowledgment. It was a relatively busy CCT shift when Dr. Hanson Read more…
A recent NEJM article, “Early or Delayed Cardioversion in Recent-Onset Atrial Fibrillation” by Pluymaekers et al has reinvigorated debate in the blogosphere, academia conference halls, and podcast-dom over management of recent-onset atrial fibrillation (AF) (1,2,3). Prior studies have demonstrated that cardioversion for recent-onset atrial fibrillation (typically defined by a duration Read more…
Smruti Desai, DO/MPH It is one of your last shifts as an intern, and after a year of wondering if you will get any taller, you finally have the elusive factor known as a linear thought process. You confidently sit back in your chair with this thought, and take Read more…
Not many takers for November’s post, but a solid A+ to Dr. Birnbaum, one of our own 4th year clinical monsters. This month we have a case of Wellens’ Syndrome. Below you will find the answers to the questions in our last post as well as the hospital course of Read more…
ECG: Sinus Bradycardia, Left Axis Deviation, Possible Trifascicular Block (Mobitz I, RBBB, LAFB) Great discussion of an interesting ECG. Let’s talk blocks! The Clinical Monster on this case did just that, and our patient is happily walking around Brooklyn, pacemaker in place. Wenckebach Read more…
Case: A 77 year-old male h/o asthma, HTN, HLD, recently diagnosed CML presents with pain to recent bone marrow biopsy site and right lower extremity pain such that he cannot walk since last night. He also c/o nausea with few episodes of NBNB vomiting. He was prescribed imatinib but has not started Read more…
While we may be trapped in our concrete jungle here in Brooklyn, many of us and some of our patients do occasionally get outside. In the Northeast in particular, this means a high risk of getting a tick bite and contracting everyone’s favorite zoonotic disease: Lyme Disease. This past month’s 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…
A 29-year-old male comes to your ED complaining of pressure-like left sided chest pain that started an hour after he smoked marijuana. He has never felt anything like this before. He has no medical problems, surgeries, medications, allergies, and has no family history of heart disease. He does not smoke cigarettes, Read more…
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 our patient, the differential is indeed narrowed down by the Read more…