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Putting Clinical Gestalt to Work in the Emergency Department

ACEP Now

Does that normal troponin and ECG obviate the need for cardiology consultation for my patient with a concerning story for acute coronary syndrome? After some fentanyl, applying traction, and “opening the book,” he improved. New York: Penguin Books. Knack SKS, Scott N, Driver BE, Pet al. Urology took him for orchiopexy.

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Target Acquired

EMS 12-Lead

He reported a history of ischemic cardiomyopathy with coronary stent placement approximately 10 years prior, but could not recall the specific artery involved. So, when I first began teaching ECGs and writing my books (in the early 1980s) — I decided to synthesize my impressions of the literature into what I felt (e.g. 2] Surawicz, B.

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An elderly male with shortness of breath

Dr. Smith's ECG Blog

Lemkes et al. I believe that I was the first to represent Wellens as a reperfusion syndrome, in my book , The ECG in Acute MI , pages 22-23 and 51, and in chapter 27 on Reperfusion and Reocclusion. If you are prepared for this, they conclude that it is acceptable to wait until the morning for intervention. Eur Heart J 2018. Am Heart J.

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Chest pain, a ‘normal’ ECG, a 'normal trop', and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.

Dr. Smith's ECG Blog

Backus BE, Six AJ, Kelder JC, et al. Moumneh T, Sun BC, Baecker A, et al. Identifying patients with low risk for acute coronary syndrome without troponin testing: validation of the HEAR score. Shah ASV, Anand A, Sandoval Y, et al. Patel J, Alattar F, Koneru J, et al. Gulati M, Levy P, Mukherjee D, et al.

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The High Life: an Altitude Illness Guidebook

FOAMfrat

Other risk factors include heavy physical exertion, alcohol consumption, dehydration, and existing co-morbidities that may affect acclimatization such as coronary artery disease, COPD, hypertension, obesity, and sickle cell trait/anemia. High Elevation Travel & Altitude Illness | CDC Yellow Book 2024.” 2. Jensen JD, Vincent AL.

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Initial Reperfusion T-waves, Followed by Pseudonormalization. Diagnosis?

Dr. Smith's ECG Blog

Raitt MH, et al. There is a body of literature from the thrombolytic era showing that high ST score correlates with high mortality (see annotated bibliography below, from my book The ECG in Acute MI ). This comes from chapter 28 of my book The ECG in Acute MI ). Methods: Oliva et al. (94) Methods: Oliva et al.

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If you had recorded an ECG during chest pain, what would it have shown?

Dr. Smith's ECG Blog

Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction. de Zwaan C et al. Am Heart J. 1982 Apr;103(4 Pt 2):730-6. Am Ht J 117(3): 657-665; March 1989. Wehrens XH, Doevendans PA, Ophuis TJ, Wellens HJ.

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