cardiology emergency medicine

ECG Cases 13: LVH and Occlusion MI

LVH produces secondary repolarization abnormalities that can mimic STEMI. Signs of occlusion MI in patients with LVH include: new Q waves/loss of R waves, disproportionate and dynamic ST elevation (or ST depression from posterior MI), and hyperacute T waves. In this ECG Cases blog we look at 6 patients who presented with potentially ischemic symptoms and LVH on their ECG. Which had an acute coronary occlusion?

By |2020-09-15T16:11:35-04:00September 15th, 2020|Categories: Cardiology, ECG Cases, EM Cases, Medical Specialty|Tags: , , , |0 Comments

ECG Cases 11: LBBB + Occlusion MI

In ECG Cases 11 - LBBB + Occlusion MI Jesse McLaren runs through 5 patients who present with potentially ischemic symptoms and LBBB and explains the evolution of decision making for cath lab activation criteria. The two most important points are that we should always use the Smith-modified Sgarbossa Criteria to identify occlusion MI in the patient with ischemic symptoms and LBBB, whether old or new, and that those with refractory ischemia and hemodynamic instability from suspected occlusion MI require cath lab activation regardless of the ECG....

EM Quick Hits 20 Imaging Renal Colic, Human Trafficking, Atrial Fibrillation During COVID, Transvenous Pacemaker Placement, COVID Lung POCUS, COVID Derm, Virtual Simulation

Justin Morgenstern on imaging choices in renal colic, Hanni Stoklosa on recognition and management of human trafficking, Rohit Mohindra on management of atrial fibrillation during COVID-19, Anand Swaminathan on transvenous pacemaker placement, Rob Simard on COVID-19 lung POCUS, Brit Long on COVID-19 dermatology and Sarah Foohey & Paul Koblic on virtual simulation...

EM Quick Hits 17 Adrenal Crisis, Strep Throat, Posterior MI, DKA Just the Facts, Ovarian Torsion Imaging, HINTS Exam, Canadian CT Head Rule

Anand Swaminathan on recognition and ED management of adrenal crisis, Maria Ivankovic on indications for antibiotics in strep throat from EM Cases Course 2020, Jesse McLaren on recognition of posterior MI from ECG Cases, Justin Yan & Hans Rosenberg on just the facts of approach to DKA, Brit Long on ovarian torsion imaging myths, Walter Himmel on how to use the HINTS exam properly, and Ian Stiell on how to use Canadian CT head rules properly...

EMU365 Amal Mattu on Killer ECGs and Pericardial Effusions

This EMU365 video features EM cardiology guru Dr. Amal Mattu on killer ECGs associated with pericardial effusions. He eloquently explains the utility of electrical alternans, specific lead and voltage criteria required to make the diagnosis of low voltage and more...

EM Quick Hits 16 COVID-19 Oxygenation Strategies, Trauma Care, Addictions Considerations, Cardiovascular Complications and Compassionate Care

Anand Swaminathan on oxygenation strategies for COVID-19 learned from the New York experience, Andrew Petrosoniak on trauma care modifications in the COVID-19 era, Michelle Klaiman on addiction medicine considerations, Brit Long & Michael Gottlieb on cardiac complications of COVID-19 and Leeor Sommer on physician compassion and preserving patients' humanity...

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