Archive

Medical Category: Cardiovascular

REBEL Cast Episode 23: Is ST-Segment Elevation in Lead aVR Getting Too Much Respect? with Amal Mattu

Lead aVR is a commonly ignored lead and I have even heard of it referred to as the Rodney Dangerfield of ECG leads as it gets no respect. I have anecdotally heard many EM physicians activate the cath lab for …

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Cardiovascular

Management and Disposition of Low Risk Chest Pain

Chest Pain (CP) is a very common complaint seen in emergency departments around the world.  In the US specifically  anywhere from 8 – 10 million patients present to the ED complaining of CP.  Many use liberal testing strategies to prevent …

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Cardiovascular

Five ECG Patterns You Must Know

Background: The electrocardiogram (ECG) is one of the most useful diagnostic studies for identification of acute coronary syndrome (ACS) and acute myocardial infarction (AMI). The classic teaching is ST-segment elevation myocardial infarction (STEMI) is defined as symptoms consistent with acute …

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Cardiovascular

Modified Sgarbossa Criteria: Part Deux

Background: Left Bundle Branch Block (LBBB) on the ECG makes accurate recognition of ST-Elevation Myocardial Infarction (STEMI) rather difficult. The 1996 and 2004 American College of Cardiology/American Heart Association (ACC/AHA) STEMI guidelines recommended immediate reperfusion therapy for patients with potentially …

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Cardiovascular

The Role of TEE in Cardiac Arrest

Background: Sudden cardiac arrest has very poor outcomes; less than 11% of patients in cardiac arrest in the Emergency Department survive to discharge from the hospital. The management of cardiac arrest is algorithmic because providers have limited tools at their …

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CardiovascularResuscitation

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