thebluntdissection

pulling apart cases from the ED...

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le(a)d astray…

January 17, 2014 By Christopher Partyka Leave a Comment

the case.

a 66 year old male is referred to your ED with recurrent bouts of dizziness over the past 2-3 weeks. [Read more…]

Filed Under: Cardiology, ECG, Interesting Tagged With: exit block, failure to capture, lead displacement, pacemaker, pacemaker malfuction, pacemaker undersensing

peas in a pod….

January 4, 2014 By Christopher Partyka Leave a Comment

the case.

an 81 year old male is referred by his GP for ongoing tachycardia & progressive hypotension. He has been gradually taken off his antihypertensives (telmisartan & prazosin) over the past 2-3 weeks as his BP has consistently been 80-90mmHg systolic. [Read more…]

Filed Under: Cardiology, ECG Tagged With: atrial tachycardia, AVNRT, AVRT, long RP interval, narrow complex tachycardia, RP interval, supraventricular tachycardia

sequential sinister sightings…

December 17, 2013 By Christopher Partyka Leave a Comment

the case.

a 68 year old male presents to ED with left-sided pleuritic chest pain & shortness of breath. He is tachycardic, but normotensive (142 systolic) with room air saturations of 93%. [Read more…]

Filed Under: Cardiology, ECG, ECHO Tagged With: cardiac tamponade, low voltage QRS, malignant pericardial effusion, pulsus paradoxus, right atrial collapse, right ventricular collapse

Quick Case #06

December 8, 2013 By Christopher Partyka Leave a Comment

the case.

76 year old male presents to ED with 2 hours of retrosternal chest pain. He is clammy, diaphoretic & looks miserable.

[Read more…]

Filed Under: #FOAM, Cardiology, ECG Tagged With: 100% LAD lesion, anterolateral STEMI, clopidogrel, stent thrombosis, thrombectomy

to the bedside…

November 23, 2013 By Christopher Partyka Leave a Comment

the case.

a 34 year old female presents to ED with palpitations and chest pain.

You are handed her ECG prior to reviewing or speaking to the patient…. [Read more…]

Filed Under: Cardiology, ECG Tagged With: ECG, flutter, mustard procedure, RBBB, right ventricular hypertrophy, right ventricular strain pattern, RVH, TGV, transposition of the great vessels

shock and awe…

November 18, 2013 By Christopher Partyka Leave a Comment

the case.

Previously well 64 year male presents to ED with 90 minutes of retrosternal chest pain after riding his bike.

This is his ECG…. [Read more…]

Filed Under: #FOAM, Cardiology, ECG, ECHO Tagged With: complete heart block, ECG, ECHO, Inferior AMI, Inferior STEMI, Inferior STEMI with RV extension, Right ventricular infarct, third degree AV block

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