Coronary Defibrillator Document 
ACEP Now
DECEMBER 6, 2024
A 45-year-old male with a history of chronic obstructive pulmonary disease (COPD), asthma, amphetamine and tetrahydrocannabinol (THC) use, and coronary vasospasm presented to triage with chest pain. During assessment, the patient reported that a left heart catheterization six months prior indicated spasms but no coronary artery disease.
Dr. Smith's ECG Blog
JULY 21, 2024
It shows a proximal LAD occlusion, in conjunction with a subtotally occluded LMCA ( Left Main Coronary Artery ). Upon contrast injection of the LMCA, the patient deteriorated, as the LMCA was severely diseased and flow to all coronary arteries ( LAD, LCx and RCA ) was compromised. He was taken immediately to the cath lab.
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ECG & Echo Learning
JANUARY 18, 2023
This page summarises the most current recommendations for the management of acute coronary syndromes with persistent ST-segment elevations (i.e This page summarises the most current recommendations for the management of acute coronary syndromes with persistent ST-segment elevations (i.e
Dr. Smith's ECG Blog
APRIL 8, 2016
At cath, he immediately had incessant Torsades de Pointes requiring defibrillation 7 times and requiring placement of a transvenous pacer for overdrive pacing at a rate of 80. Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." However it is classified is not so important!
Dr. Smith's ECG Blog
DECEMBER 31, 2024
Written by Pendell Meyers A woman in her 70s with known prior coronary artery disease experienced acute chest pain and shortness of breath. Her history and ECG were interpreted as very concerning for acute coronary syndrome which might benefit from acute reperfusion therapy. KEY Points: DSI does not indicate acute coronary occlusion!
Dr. Smith's ECG Blog
MARCH 8, 2025
The arterial pressure waveform is transduced using the coronary catheter. Normally, the diameter of the coronary artery ostium is much greater than the diameter of the catheter so that catheter engagement does not significantly impair antegrade coronary perfusion. She was defibrillated perhaps 25 times.
Dr. Smith's ECG Blog
DECEMBER 27, 2024
Documentation lists a diagnosis of "sinus tachycardia." In this case report the 69-year old woman ( who incidently had a history of both coronary disease and cardiomyopathy ) remained in sustained VT for 5 days without hemodynamic deterioration. The current ECG shows sinus tachycardia with old inferior infarct.
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