Browsing: Cardiology

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ECG Challenge , Cardiology

ECG Challenge: February-March 2022

2/12/2022 Diane Y. Wang, MD , Jeremy Berberian, MD
A 79-year-old male with a past medical history of coronary artery disease s/p CABG in 2012 presents with chest pain. His initial ECG showed atrial fibrillation with RVR at 168 bpm. Despite rate contro
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Cardiology

Migration of Implantable Loop Recorders

2/12/2022 Sophia Gorgens, MD , Shreyans Sanghvi, DO
From unexplained syncopal events to undiagnosed palpitations, there are many cardiac conditions where patients benefit from closer monitoring. Unlike the more invasive implantable cardiac defibrillato
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ECG Challenge , Cardiology

ECG Challenge: December-January 2021-2022

12/12/2021 Garrett M. Snipes, MD , Jeremy Berberian, MD
A 70-year-old male presents to the emergency department with syncope and lightheadedness. His past medical history is significant for heart failure with reduced ejection fraction, CAD status post perc
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Cardiology

A Case Report of Torsades de Pointes and Hemochromatosis

12/12/2021 Gennarina Riso, DO, MS , Arthur Smolensky, MD, MS, FAAEM
Torsades de pointes is a subcategory of polymorphic ventricular tachycardia. It is associated with long QT syndrome and characterized by the unique appearance of small and large amplitude of complexes
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COVID-19 , Cardiology , Pulmonary

Elusive Effusion: A Rare of Case of COVID-19-Related Pericardial Effusion and Cardiac Tamponade

12/12/2021 Parth S. Gandhi, DO , Arayel Osborne, MD
Recently, a series of case reports have described the effect of COVID-19 on myocardial and pericardial tissue. It appears the majority of cases of myocarditis, pericarditis, and pericardial effusions
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Prehospital Care , Cardiology

A Revamping of an Old Practice: Head-Up CPR

10/7/2021 Glenn Goodwin, DO, EMT-P , Charles Latimore, MD
From intravenous drugs and genetic engineering to highly advanced equipment to mind-blowing surgical techniques, medicine continues to evolve at an exponential pace. Cardiopulmonary resuscitation (CPR
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Ultrasound , Cardiology

Point-of-care Echocardiography in the Undifferentiated Patient: A Case Report

10/7/2021 Jacob Lenning, MD , Nasser Bazoun, DO
Left ventricular free wall rupture (LVFWR) is a rare and usually fatal complication of myocardial infarction (MI). Fortunately, echocardiography is very sensitive and specific - and emergency physicia
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ECG Challenge , Cardiology

ECG Challenge: October-November 2021

10/6/2021 W. Brandon White, DO , Jeremy Berberian, MD
A 61-year-old male with past medical history of hypertension and hyperlipidemia presents to the emergency department with 8/10 substernal chest pain. What is your interpretation of his ECG?
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ECG Challenge , Cardiology

ECG Challenge: August-September 2021

8/10/2021 Nathan Potter, MD , Jeremy Berberian, MD
A 65-year-old female with history of thoracic aortic aneurysm s/p aortic graft repair several years ago presented to the ED with positive blood cultures on outpatient labs. These had been ordered by h
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Cardiology

Sudden-Onset Chest Pain and Subtle ECG Findings

8/10/2021 Alexander Bracey, MD , H. Pendell Meyers, MD
Approximately 25% of patients with NSTEMI have an acute coronary occlusion; the STEMI/NSTEMI paradigm can be misleading. Serial ECGs are invaluable in making the diagnosis of acute coronary syndrome,