Browsing: Cardiology

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ECG Challenge , Cardiology

ECG Challenge: December-January 2020-21

12/2/2020 Graham Clifford, DO , Jeremy Berberian, MD
A 24-year-old male with history of intravenous drug use and tricuspid valve replacement 10 days ago presents with pain at his sternotomy site. The surgery was performed at another hospital, and the pa
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Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: ECMO Facilitated CPR for Out-of-Hospital Cardiac Arrest with Refractory Ventricular Fibrillation - The ARREST Trial

12/1/2020 Jonathan Pickos, DO , Sean M. Hickey, MD
What is possible with highly coordinated ECMO-facilitated cardiopulmonary resuscitation? A recent study demonstrates the value of exploring interesting alternatives such as ECMO cannulation in the eme
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ECG Challenge , Cardiology

ECG Challenge: October-November 2020

10/9/2020 Matthew Rizzotti, DO , Emily Luvison, MD , Jeremy Berberian, MD
A 72-year-old male with a history of hyperlipidemia presents to the ED after an episode of exertional chest pain which has since resolved. What is your interpretation of his EKG?
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Cardiology , Toxicology , Medications

Acute Hyperkalemia Masking Flecainide and Metoprolol Toxicity

10/9/2020 Matthew Baltz, MD , Jeremy Berberian, MD
Antidysrhythmic drugs are broadly categorized into Vaughan-Williams classifications, and their effects should be carefully noted.
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ECG Challenge , Cardiology

ECG Challenge: August-September 2020

8/17/2020 Brett Jennings, DO , Jeremy Berberian, MD
A 57-year-old male presents with AMS. He is minimally responsive and there is no additional history available. His initial heart rate was 25 with a blood pressure of 80/30. What is your interpretation
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ECG Challenge , Cardiology

ECG Challenge: June-July 2020

6/11/2020 Emily Luvison, MD , Johnny Rowles, MD , Jeremy Berberian, MD
A 46-year-old male with a history of hypertension presents with palpitations and lightheadedness. What is your interpretation of the ECG?
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ECG Challenge , Cardiology

ECG Challenge: April-May 2020

4/23/2020 Danielle Miano, MD , Gregory Steinberg, DO , Jeremy Berberian, MD
A 33-year-old male presents to the emergency department because of palpitations. He reports a history of similar episodes in the past that always respond to adenosine. What is your interpretation of t
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Cardiology

Non-Sustained Ventricular Tachycardia Following Modified Valsalva Maneuver for Atrioventricular Nodal Reentry Tachycardia

4/23/2020 Alexander J. Davies, MD , Lisa Gehm, MD, FACEP
The magic of the modified Valsalva maneuver in cardioverting certain dysrhythmias is not without its own risks.
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Cardiology

25-Year-Old STEMI: What a Paradox

4/23/2020 Tung-Lin Jesse Yuan, DO , Brian Monaco, MD
Paradoxical coronary emboli are rare phenomena that nevertheless should remain on your differential when patients with low risk factors for coronary artery disease develop atraumatic chest pain.
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ECG Challenge , Cardiology

ECG Challenge: February - March 2020

2/13/2020 Paul Smyser, MD , Jeremy Berberian, MD
A 62-year-old male presents with 1 hour of crushing chest pain radiating to the right shoulder. What is your interpretation of the following ECG and what would you do next?