tag:blogger.com,1999:blog-549949223388475481.post3293549861603407862..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: Why did this patient have ventricular fibrillation?Unknownnoreply@blogger.comBlogger3125tag:blogger.com,1999:blog-549949223388475481.post-11617664847722461552017-03-15T11:53:39.289-05:002017-03-15T11:53:39.289-05:00Interesting!
Thank you, Dr. Arora.
Steve SmithInteresting!<br />Thank you, Dr. Arora.<br />Steve SmithSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-4717087791169069172017-03-15T04:56:09.042-05:002017-03-15T04:56:09.042-05:00Thanks to Dr Smith for bringing this case in light...Thanks to Dr Smith for bringing this case in light . <br />I would like to add, that in such cases, LA Stress that is deep terminal negativity of P in V1 is a strong predictor of SCD Ref :Electrocardiographic Deep Terminal Negativity of the P Wave in V1 and Risk of Sudden Cardiac Death: The Atherosclerosis Risk in Communities (ARIC) Study.<br />ECG once again plays a big role in predicting and identifying asymptomatic or silent ischemic patients at risk for SCD or VFib.<br />Prof Dr Rajiv AroraDr.Rajiv Arorahttps://www.blogger.com/profile/11328692379948981426noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-22423444712893354312017-03-14T17:43:07.196-05:002017-03-14T17:43:07.196-05:00Very interesting case! I would have thought the Q ...Very interesting case! I would have thought the Q waves we see here in all 3 inferior leads would correlate with prior inferior infarction — but apparently this was not the case given echo and cath findings … I also thought the ST coving with subtle-but-real elevation that we see in lead V1 looked like a potential acute finding — but by itself, this of course is not diagnostic (and I would have never guessed total LAD occlusion from what I see on this tracing). It is humbling and insightful cases like this one, that make the art and science of electrocardiography so intriguing. THANKS for presenting!<br />ECG Interpretationhttps://www.blogger.com/profile/02309020028961384995noreply@blogger.com