tag:blogger.com,1999:blog-549949223388475481.post1828111964126422731..comments2024-03-26T22:42:04.176-05:00Comments on Dr. Smith's ECG Blog: Sudden Cardiogenic ShockUnknownnoreply@blogger.comBlogger10125tag:blogger.com,1999:blog-549949223388475481.post-1226896207025758052019-06-01T13:02:54.842-05:002019-06-01T13:02:54.842-05:00I thought there were only posteromedial or anterol...I thought there were only posteromedial or anterolateral papillary muscles in the LV..? I dont understand the term posterolateral.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-16533709643378919082014-05-17T01:51:17.360-05:002014-05-17T01:51:17.360-05:00I am a medical resident on cardiology and I also w...I am a medical resident on cardiology and I also wrote a few words about <a href="http://www.heartupdate.com/heart-failure/cardiogenic-shock_286/" rel="nofollow">cardiogenic shock</a>.Dariushttps://www.blogger.com/profile/03609565306543916384noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-85187382913391276922014-05-07T21:04:03.296-05:002014-05-07T21:04:03.296-05:00Had a similar 59 yr case that had CABG x 4 and MVR...Had a similar 59 yr case that had CABG x 4 and MVR but didnt end up surviving. We are going to pick up more of these as we do echos in ED's by EP's. We had a similar white sided infiltrates reported by radiologist as infection. Could have been easily mistaken for Sepsis from pneumonia. We work in semi-urban ED with no cardiology or cardiothoracic support in house which makes it harder. Cardiology registrar who I rung said, "Are you sure, it's usually a post-mortem diagnosis". He was probably not wrong in the days when we weren't doing echoes in ED. The direction of the Mitral jet though depends on which papillary muscle is ruptured.....[say hello to Bill]Anonymoushttps://www.blogger.com/profile/04693454142902339832noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-5430840525132323562014-04-22T08:46:58.207-05:002014-04-22T08:46:58.207-05:00IABP might be useful. This patient wanted no more...IABP might be useful. This patient wanted no more intervention. Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-80331692498815066272014-04-22T08:42:23.096-05:002014-04-22T08:42:23.096-05:00In this regard, Dr. Wang is wrong. We just studied...In this regard, Dr. Wang is wrong. We just studied this, and ST depression in lead I in inferior MI has no relation to RV MI. We are presenting this at SAEM in May.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-58965732756096175432014-04-21T16:18:46.475-05:002014-04-21T16:18:46.475-05:00Excellent case, dr Smith!
Since this is a ECG blog...Excellent case, dr Smith!<br />Since this is a ECG blog, as you've pointed out, I got a question about the ECG :)<br />The first ECG shows reciprocal depression in both aVL and I, as well as a subtle ST elevation in lead V1. Some would argue (i.e. dr K Wang) that this is diagnostic of a right ventricular involvement, yet the right-sided leads showed no evidence of RVMI. What's your opinion on this?P Hammarlundhttps://www.blogger.com/profile/12795866723817205360noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-76302900205610707152014-04-21T03:22:33.721-05:002014-04-21T03:22:33.721-05:00Please, has your hospital a protocol for MI treat...Please, has your hospital a protocol for MI treatment? We use all toghether ecg, trop test and echocardiography in the emergency room, performed by the cardiology resident. After initial evaluation are informed cath lab, UTIC and/ or cardiovascular surgery. What about counterpulsation ballon in this case?Anonymoushttps://www.blogger.com/profile/00681169174907303228noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-457085689953701612014-04-20T17:55:06.104-05:002014-04-20T17:55:06.104-05:00Thank you Dr. Smith. It was a very nice case which...Thank you Dr. Smith. It was a very nice case which emphasize again to interpret everything with each other. I tried always to do a brief bedside echo in such situatioin that physical exam cannot help me too much and found 2 of these ruptures. I would say in an emergent situation you can never auscultate the heart properly, so echo is the decision. Excellent radiology point, I did NOT know that. We have never forget to look for mechanical complication of acute/subacute MI.Dr. Maryam Ayatihttps://www.blogger.com/profile/02629951162883667238noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-9321916355266032572014-04-20T13:04:47.607-05:002014-04-20T13:04:47.607-05:00Ditto per Vince = GREAT case! Nice to see the Echo...Ditto per Vince = GREAT case! Nice to see the Echos as well as the ECG with excellent explanation - :)ECG Interpretationhttps://www.blogger.com/profile/02309020028961384995noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-23696658293998160122014-04-20T12:49:10.762-05:002014-04-20T12:49:10.762-05:00Beautiful case!Beautiful case!Vince Dhttps://www.blogger.com/profile/10636259293820649555noreply@blogger.com