Tag Archives: Takotsubo Cardiomyopathy

58 year old female CC: Chest pain – Conclusion

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This is the conclusion to 58 year old female CC: Chest pain. Let's take another look at the 12-lead ECG. Remember, ST-elevation needs to be explained, and if the etiology involves myocardial infarction, urgent time-sensitive decisions need to be made. In this case, we have ST-elevation in leads V1-V5, which suggests the possibility of acute […]

76 year old female CC: Chest pain – Conclusion (Takotsubo Cardiomyopathy)

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Here is the conclusion to the most recent case: 76 year old female CC: Chest pain. To see Part I click HERE. To see Part II click HERE. The patient was transported to the emergency department where she was treated for a possible acute coronary syndrome. Serial 12-lead ECGs and cardiac biomarkers were performed. This […]

76 year old female CC: Chest pain – The case for this being an acute anterior STEMI

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As many of you pointed out, the history and clinical presentation isn’t exactly screaming “Acute Coronary Syndrome!”

76 year old female CC: Chest pain

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EMS is called to the beach for a 76 year old female complaining of shortness of breath. Past medical history of emphysema. On arrival, the patient is found sitting in a beach chair alert and oriented to person, place, time, and event. She does not appear to be in any acute distress. The patient states […]

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Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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Comments
Jessica
68 y.o. male with weakness: “Treat the monitor, not the patient?”
the bizzare complexes coupled with the fact that the patient takes a potassium sparing diuretic make me think hyperkalemia
2015-04-29 12:31:37
Aman
The 12 Leads of Christmas: V2
Thank you for your response. By all means, take your time! As for the source of the first figure, I got it from the book "Essential Cardiology: Principles and Practice - 3rd edition" by Clive Rosendorff - Chapter 7, Figure 7.3 (Page 97). It's one of the rare texts where I found a mention of…
2015-04-27 06:52:25
Vince DiGiulio
The 12 Leads of Christmas: V2
Your questions on this topic are some of the best I've encountered—no need to apologize! It makes me very happy to see this post reaching the right people. I'm working non-stop the next two days but I will get back to you soon with my full response. Two things to start: First, where did you…
2015-04-27 05:14:11
AJ
68 y.o. male w/ weakness: conclusion – “Treat the monitor.”
Very informative case! Thank you for sharing..... I will be using it to teach our paramedics and residents (if you allow me to)..... Keep the great working going guys!
2015-04-27 03:05:29
Aman
The 12 Leads of Christmas: V2
Thank you so much! I wonder why this information is not found in ECG texts. I have a query though. The critical information seems to be the fact that leads V1 and V2; V3; and V4-V6, each are physically located on a different transverse plane with respect to the theoretical electrical center. (Also mentioned in…
2015-04-26 18:24:06

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