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The role of 12 lead ECG in Pediatric Pulmonary Hypertension
An 11 year old male presents with complaint of substernal chest pain, 6/10, unable to describe the sensation but non-radiating, which started while running. Primary assessment: Patent airway Adequate respiratory effort with no signs of distress skin is pink, warm and dry, with no signs of hypoperfusion Pertinent medical Hx: Chronic Interstitial Lung Disease Secondary Pulmonary […]
EMS 12-Lead
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Ken Grauer, MD
Electrocardiographically Silent High Lateral STEMI Equivalent
Hi Tom. This is a great case — so NICE that you posted it for others to learned from. But as I commented several times when you sent this case around to our group — the T waves in V2,V3 are disproportionately peaked and transition occurs early (between V1-to-V2) — so the chest leads are NOT…
2018-08-14 08:38:03
Electrocardiographically Silent High Lateral STEMI Equivalent
Hi Tom. This is a great case — so NICE that you posted it for others to learned from. But as I commented several times when you sent this case around to our group — the T waves in V2,V3 are disproportionately peaked and transition occurs early (between V1-to-V2) — so the chest leads are NOT…
2018-08-14 08:38:03
Eli
58 Year Old Male, Workout Worry
Anybody else see the possibility of a LBBB or A-Flutter? I'm not sure if this will make any difference with the treatments but im just trying to interpret it first because if there is a LBBB then it does not meat Sgarbossa criteria and if it is A-Flutter that could explain the hyper acute T's…
2018-07-20 21:29:21
58 Year Old Male, Workout Worry
Anybody else see the possibility of a LBBB or A-Flutter? I'm not sure if this will make any difference with the treatments but im just trying to interpret it first because if there is a LBBB then it does not meat Sgarbossa criteria and if it is A-Flutter that could explain the hyper acute T's…
2018-07-20 21:29:21
Aigars
58 Year Old Male, Workout Worry
I would give some morphine, NTG, and aspirin. Here, in Latvia, no clopidogrel and heparin is requested if there is no evidence of STE. Clopidogrel is now replaced with ticagrelor. On the scene would like to see some previous ECG's to compare. There is LBBB, difficult to interpret the ECG, may be old changes. High…
2018-07-07 18:16:14
58 Year Old Male, Workout Worry
I would give some morphine, NTG, and aspirin. Here, in Latvia, no clopidogrel and heparin is requested if there is no evidence of STE. Clopidogrel is now replaced with ticagrelor. On the scene would like to see some previous ECG's to compare. There is LBBB, difficult to interpret the ECG, may be old changes. High…
2018-07-07 18:16:14
Vince DiGiulio
58 Year Old Male, Workout Worry
Great point. I've seen a couple of cases where a STEMI patient's only PVC (over the course of an hour or more) was the one that put them into VF. Now, the pads go on any time I'm calling a STEMI alert.
2018-07-07 03:05:33
58 Year Old Male, Workout Worry
Great point. I've seen a couple of cases where a STEMI patient's only PVC (over the course of an hour or more) was the one that put them into VF. Now, the pads go on any time I'm calling a STEMI alert.
2018-07-07 03:05:33
Vince DiGiulio
The 360 Degree Heart – Part I
Glad I could help! Understanding the relationships between the leads definitely allows you to "see" the ECG in an entirely different way.
2018-07-07 02:55:32
The 360 Degree Heart – Part I
Glad I could help! Understanding the relationships between the leads definitely allows you to "see" the ECG in an entirely different way.
2018-07-07 02:55:32
