Archive for June2009

Right Bundle Branch Block – Part 1

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How do you identify right bundle branch block (RBBB) on the 12 lead ECG? Most of us were told to look for “bunny ears” or to use the “turn signal” method but all you really need for the ECG diagnosis of RBBB are the following: Supraventricular rhythm QRS duration equal or greater than 120 ms (0.12 […]

Incredible video of soccer player saved by ICD

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In this amazing video, 20 year old Belgian soccer player Anthony Van Loo is saved by his implantable cardioverter-defibrillator. Are these cool times we live in, or what? See also Another soccer player experiences sudden cardiac arrest on camera (VIDEO) Scientist shocked by ICD at Copenhagen Summit (VIDEO) Cardiac arrest – are you ready to […]

ST-Segment Morphology

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In a previous post we discussed the problem of ST segment elevation. Because acute myocardial infarction (STEMI) is not the most common cause of ST-segment elevation amongst chest pain patients, we need to consider other factors like reciprocal changes to shore up the diagnosis. It’s also a good idea to be well versed in the […]

STEMI Activism and STEMI Etiquette

“Since I am an Emergency Department Physician, it is important to stress that these regional networks focused on improving the STEMI process outside the Cath Lab, not the STEMI procedure inside the Cath Lab. The key is combining pre-hospital ECGs and STEMI networks, as pre-hospital ECGs without the network are about as useful as a […]