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 (Tako-Tsubo 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 […]

EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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Comments
Eric Strong
Axis Determination – Part VI
This is a great discussion of axis determination. One minor suggestion: I think it's potentially misleading to refer to an axis between 0 and -30 as "physiologic left axis deviation", since "axis devitation" implies deviation from normal, and axes between 0 and -30 are perfectly normal, (depending on age and body habitus). It may be…
2014-10-05 17:09:00
Ian
Right ventricular infarction – Part I
Can you give me a little more info on hypervagotonia? I googled around for some info but there doesn't seem to be much info and it's a term I've never heard before. Thanks!
2014-10-05 15:09:24
68 y.o. male w/ weakness: conclusion – “Treat the monitor.” | EMS 12 Lead
HyperK and Shades of Grey: Myths and Facts about Hyperkalemia Part I
[…] Myths about hyperkalemia […]
2014-10-05 01:54:53
68 y.o. male with weakness: “Treat the monitor, not the patient?” | EMS 12 Lead
68 y.o. male w/ weakness: conclusion – “Treat the monitor.”
[…] The conclusion, with the diagnosis, is now available. Click to go […]
2014-10-05 01:36:36
SFL Medic
68 y.o. male with weakness: “Treat the monitor, not the patient?”
Destination: ED with most to offer. He's 68 and weak. I'm in Florida...we have people with their favorite Dx on their car tags around here, so that doesn't bother me. Neither does diminished lungs. Altered mental status does. And the ECG looks like an old oscilloscope...which I've used in the field (MRL)...which tells me high…
2014-10-04 21:44:53

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