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Torsade in a patient with left bundle branch block: is there a long QT? (And: Left Bundle Pacing).

Dr. Smith's ECG Blog

Among patients with left bundle branch block, T-wave peak to T-wave end time is prolonged in the presence of acute coronary occlusion. Finally, do a coronary angiogram Possible alternative to pacing is to give a beta-1 agonist to increase heart rate. Coronary Angiography No angiographic significant obstructive disease.

Coronary 122
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Emergency Evidence Updates – May 2025

The Bottom Line

The Journal of Emergency Medicine Neurologic etiologies of cardiac arrest are associated with early withdrawal of life-sustaining therapy Resuscitation Point of Care Echocardiography and Regional Wall-Motion Abnormalities in Acute Coronary Syndromes The Journal of Emergency Medicine Proximal venous ultrasound with risk stratification safely excludes (..)

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Neonatal Hypotension

Don't Forget the Bubbles

Use with caution in neonates with coronary artery disease or chronic nephropathy due to the risk of ischemia and reduced renal blood flow. “Epidemiology of Hypotension in Neonates,” Journal of Perinatology , 2023. and Roberts, N. Batton, B., Li, L., & Newman, N. Kleinman, M. E., & de Caen, A. E., & de Caen, A.

OR 57
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The Truth You Don’t Want: An EMS Veteran on PTSD, Stigma and the Fight to Stay Whole

JEMS

A quadruple coronary bypass. Coronary artery disease that had developed over decades. 2023 [cited 2025 Jul 14]. 2023 [cited 2025 Jul 14]. And left untreated, it chips away more than just your mind. It takes your body, too. Was PTSD the sole cause? Of course not. But did it contribute? Without question. Anguiano P.

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repost this one as QRS distortion

Dr. Smith's ECG Blog

Blog Archive ► 2025 (109) ► June (18) ► May (25) ► April (19) ► March (13) ► February (11) ► January (23) ► 2024 (177) ► December (15) ► November (14) ► October (14) ► September (18) ► August (11) ► July (16) ► June (14) ► May (16) ► April (13) ► (..)

STEMI 52
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Critical Care Evidence Updates – May 2025

The Bottom Line

A pilot randomized controlled study Journal of Critical Care Effect of Ketamine Analgosedation on Neurological Outcome in patients with Severe Traumatic Brain Injury: A Randomized Controlled Pilot Study Neurocritical Care Effects of a general practitioner-led brief narrative exposure intervention on symptoms of post-traumatic stress disorder after (..)

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A 70 something female with chest pain (KG- done)

Dr. Smith's ECG Blog

The list of causes of early R/S transition is extensive and includes conditions such as preexcitation, muscular dystrophies and right ventricular hypertrophy to name a few ( See Ken Grauer Comment in the July 7, 2023 post). The T wave changes that have occurred are widespread, and not in a typical coronary distribution.

ACS 52