tag:blogger.com,1999:blog-549949223388475481.post7153110526845844940..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: BradycardiaUnknownnoreply@blogger.comBlogger8125tag:blogger.com,1999:blog-549949223388475481.post-42571411334282951162013-12-08T11:10:37.742-06:002013-12-08T11:10:37.742-06:00Also, bradycardia leads to a high pulse pressure b...Also, bradycardia leads to a high pulse pressure because it gives the elastic recoil of the aorta much time to release its pressure: so much time that little elastic recoil is left and you get a low diastolic pressure.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-49524567817903352772013-12-08T11:08:58.551-06:002013-12-08T11:08:58.551-06:00Stanley, you are absolutely correct that third deg...Stanley, you are absolutely correct that third degree SA block should be on the differential. Thanks.<br /><br />Steve SmithSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-56838829379427449282013-12-08T05:55:38.638-06:002013-12-08T05:55:38.638-06:00Hi, I just discovered this wonderful blog, hence t...Hi, I just discovered this wonderful blog, hence the late reply.<br /><br />May I enquire as to why you did not include third degree SA block as a differential diagnostic.<br /><br />Also, what can account for the huge gap between systolic and diastolic BP ?<br /><br />Thanks for your time.Stanley Westhttps://www.blogger.com/profile/03260792068134656975noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-9362383062910457962013-01-16T10:19:26.655-06:002013-01-16T10:19:26.655-06:00They are partly due to hyperkalemia, and became sm...They are partly due to hyperkalemia, and became smaller after treatment for hyperK.<br /><br />Je vous en prie!<br /><br />Steve SmithSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-55267091519956501452013-01-16T10:10:40.611-06:002013-01-16T10:10:40.611-06:00thank you Dr smith, i'm also a hunior doctor f...thank you Dr smith, i'm also a hunior doctor from Algeria, i would ask about the tall and large T waves in V2 V3 ? what's their signification ?<br />thank you merci beaucoupbornDzhttps://www.blogger.com/profile/14881573967112036335noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-86893219340462335542013-01-11T09:35:54.285-06:002013-01-11T09:35:54.285-06:00Ryan, thanks for the kind words. As for recognizi...Ryan, thanks for the kind words. As for recognizing the p-waves, always look in leads II and V1. In II, the negative deflection is just to abrupt to be a biphasic T- or U-wave. In V1, in which normal p-waves are always biphasic (up then down), the wave here is biphasic (down then up!). So it must be a p-wave.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-68852782254798947692013-01-10T18:19:42.651-06:002013-01-10T18:19:42.651-06:00Hi Dr Smith
Yet another fascinating and informati...Hi Dr Smith<br /><br />Yet another fascinating and informative case. From a junior doc, thanks for all the work you do to educate us. It truly is amazing and what is even more spectacular is that it is free!<br /><br />Can I ask, how did you determine the p-waves in the initial ECG? When I first looked at it, I was thinking biphasic T-waves or U-waves.<br /><br />Thanks<br /><br />RyanRyanhttps://www.blogger.com/profile/01187321237699623633noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-81972294519230626832013-01-10T08:11:21.228-06:002013-01-10T08:11:21.228-06:00HyperK is the Syphilis of the EKG:The Great Imitat...HyperK is the Syphilis of the EKG:The Great ImitatorNicolas Peschanskihttps://www.blogger.com/profile/07436778751052243538noreply@blogger.com