Tag: cardiology

Legends of Medicine – History of the EKG

The EKG is an integral diagnostic tool in EM let alone the whole of medicine. It is a rapid, reliable and cost-effective method to aid in the diagnosis of cardiac pathology including ischemic and arrhythmic events. So how did it…

Morning Report: 7/7/2015

Thanks to Dr. Kopping for presenting today’s Morning Report!   Digoxin Toxicity Digoxin falls under cardioactive steroids Fox glove, oleander, dried toad secretions Na/K ATPase inhibition Resting potential more positive, more likely to depolarize Increases inotropy by preventing Ca leaving…

ARVD/C

By Baruch Berzon MD and Richard Sinert MD Case Presentation A 32 year-old male presents in August to EMS with complaints of “flutter in my chest” and light-headedness for an hour. The paramedics find a young man in mild distress…

Morning Report: 6/5/2015

Thanks to Dr. Eli Brown for presenting today’s Morning Report!   Acute Aortic Regurgitation   AR: diastolic flow of blood from the aorta into the LV   Epidemiology: prevalence in U.S ranges from 2-30%, but on 5-10% have severe disease…

Rhythm Nation May 2015 Answer!

Rhythm Nation May 2015 Answer Congratulations to Dr. Reza Roodsari! This is indeed a case of digoxin toxicity.  Whenever you see “regularized a-fib,” that is, regular QRS intervals in a patient with permanent atrial fibrillation, think digoxin toxicity until proven otherwise. What…

Rhythm Nation April 2015 – Answer!

Excellent interpretation by Dr. Tepler! Exactly right, bradycardia and Osborn waves were concerning for a cold patient – in this case had moderate hypothermia. The Osborn wave (aka J wave) is seen in a variety of conditions. It can be…

Rhythm Nation April 2015

You are handed this ECG and immediately get up to go see this new patient … why? What are you worried about?       Best answer by Friday 4/17/15 at noon is our winner!