Archive for August2009

Left ventricular hypertrophy – Part I

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One of the most confusing ST-elevation mimics for paramedics is the “strain pattern” (or repolarization abnormality) occasionally found with left ventricular hypertrophy. This is important because left ventricular hypertrophy is one of the most common causes of ST segment elevation in chest pain patients. Many 12 lead ECG classes teach paramedics to recognize the voltage […]

Back to reality….

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Well, I’m back from Mexico. A moment of silence, please…. Now, I’m feeling waaaay too lazy to write something creative, so I thought I’d ease back into things by giving a long overdue “ECG Grand Rounds” and mention a new addition to the blogroll while I’m at it. It’s becoming clear to me that strain […]

Viva la Mexico!

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Photo credit: www.sobrino.net I’m happy to announce that I’m taking a well deserved vacation to the Riviera Maya! My plane leaves early tomorrow. I’ll be staying at an all-inclusive resort called the Azul Sensatori in Puerto Morelas (between Cancun and Cozumel). You can see photos of the resort here (courtesy of Picasa). I want to […]

What's the heart rhythm?

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You are called to the residence of 85 year old male complaining of chest discomfort. Note: The details of the history and clinical presentation have been lost. The cardiac monitor is attached. What's your interpretation of this ECG? *** UPDATE *** Some very interesting comments so far…. Let's see if a review of the 12 […]

Prehospital ECGs Have Big Impact on Door-to-Balloon Times

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Prehospital ECGs Have Big Impact on Door-to-Balloon Times – Remote, EMS transmission of STEMI ECGs leads to earlier cath lab activation. By: Dave Fornell, July/August issue of Diagnostic and Invasive Cardiology. Complete article is here. This excellent article offers information about Physio-Control’s LIFENET system, Philips’ HeartStart MRx, a low-cost option from ZOLL, and General Devices […]