Chest Pressure POD#8 s/p AVR

2016-10-13T18:16:17-05:00August 27th, 2015|ECG|

Symptomatic bradycardia and high degree AV block puts patients at high-risk for decompensation. While ischemia is a concern with all new conduction abnormalities. However it is a common development in patients with recent aortic valve replacement and often requires permanent pacemaker.

Acute subclavian artery thrombosis causing ACS

2016-10-13T18:16:29-05:00December 7th, 2013|ECG|

79-year-old women has severe aortic stenosis and 2-vessel coronary artery disease s/p coronary artery bypass graft who developed acute dyspnea. She was found to have chronic occlusion of her vein graft and acute thrombosis of her subclavian artery, causing diffuse cardiac ischemia and myonecrosis.

DKA presenting as Wide Complex Tachcyardia

2016-10-13T18:16:36-05:00May 18th, 2013|Cardiology, ECG, Stabilization|

29-year-old man with history of type 1 diabetes mellitus and currently living in a hotel, presented to the emergency department with 2-weeks of feeling ill with had accelerated and was much worse over the last 2 days. This included a productive cough, subject fevers, and frequent v

Lead Placement for Posterior ECG

2016-10-13T18:16:41-05:00March 10th, 2013|Cardiology, ECG|

The leads V4-V6 are removed and substituted for V7-V9 as shown below. On most EKg machines, the labels areno automatically changed so it is important to cross out the labels for V4-V6 and write in V7-V9. It is also helpful for future clinicians, if you note in your read that it is a p

STEMI with Dual Culprit Lesions

2016-10-13T18:16:41-05:00March 10th, 2013|Cardiology, ECG|

This 59-year-old gentlemen presented with 3 hours of severe upper sternal chest pressure that radiated to his throat which he described as “strangulating”. No previous cardiac history.

Arrhythmia masquerading as Cardiac Ischemia

2016-10-13T18:16:43-05:00February 11th, 2013|Cardiology, ECG|

This 45-year-old woman with a medical history which includes medication-controlled essential hypertension, stage 2 chronic kidney disease, type 2 diabetes mellitus, and a 1 pack-per-day cigarette smoking habit presented to the emergency department with <60 minutes of acute onset