ACS Coronary ICU 
Dr. Smith's ECG Blog
JUNE 17, 2024
The patient was upgraded to the ICU for closer monitoring. Electrocardiographic Differentiation Between Acute Pulmonary Embolism and Acute Coronary Syndromes on the Basis of Negative T Waves - ScienceDirect. looked at consecutive patients with PE, ACS, or neither. In fact, Kosuge et al. In fact, Kosuge et al. Kosuge et al.
Dr. Smith's ECG Blog
JANUARY 9, 2024
Ischemia from ACS causing the chest discomfort, with VT another consequence (or coincidence)? Cardioversion will address the rhythm problem immediately, also if the chest discomfort subsides when SR is restored, ischemia from ACS becomes much less likely. In either case, prompt cardioversion is indicated.
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Dr. Smith's ECG Blog
OCTOBER 25, 2023
Moreover, the Queen is only supposed to be used with a high pretest probability of ACS/OMI. The patient was admitted to the ICU for close monitoring and electrolyte repletion and had an uneventful hospital course. Instead — it commonly reflects ischemia from severe underlying coronary disease. Magnesium later resulted at 0.8
EMDocs
JANUARY 11, 2024
Early coronary angiography in post-CA patients with no ST-segment elevation on the presenting ECG may still be of benefit by potentially salvaging myocardium and decreasing the incidence of systolic heart failure in survivors (95.7%, 22/23). Digestive Management Takeaway: Start enteral feeds when the patient gets to the ICU.
Dr. Smith's ECG Blog
JANUARY 6, 2023
Immediate and early percutaneous coronary intervention in very high-risk and high-risk Non-STEMI patients. Smith comment: We have shown that use of opiates is associated with worse outcomes in ACS: Bracey, A. Opioids in ACS may reduce the pain score, but do not provide reperfusion for ongoing ACS. Lupu L, et al.
Dr. Smith's ECG Blog
MARCH 12, 2018
Wellens pattern is a term which refers to coronary reperfusion morphology in the anterior leads) The best answer is because the entire gestalt of the ECG shows acute right heart strain instead, and just does not look like Wellens after you've seen Wellens hundreds of times. looked at consecutive patients with PE, ACS, or neither.
EMDocs
OCTOBER 21, 2023
A 68-year-old male with a past medical history of hypertension, diabetes mellitus, and coronary artery disease with a drug eluting stent placed 2 months ago presents with dizziness and vomiting that began 3 hours ago. The NIHSS cutoff that predicts outcomes is 4 points higher in AC compared with PC infarctions.
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