Ventricular Tachycardia Mimics
The wide complex tachycardia isn’t always ventricular tachycardia…What else should you consider, and how do you approach the patient with wide complex tachycardia?
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Cardiology
Tox Card: Cardiovascular Drug Effects on the Action Potential and ECG
Today we will review the basics of cardiovascular drug effects on the different phases of the action potential.
Tox Card: Cardiovascular Drug Effects on the Action Potential and ECG Read More »
Atypical ACS Presentations: How Can We Improve?
Not every patient with acute coronary syndrome presents with retrosternal chest pain. What are the atypical presentations of ACS, and how can we improve our diagnosis of the dangerous masqueraders?
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Non-Traditional ACS Risk Factors: A Snake in the Grass
What other patient populations are at risk for developing atherosclerotic disease and ACS that emergency physicians can miss? If our community is responsible for recognizing and treating initial presentations of patients with ACS, we must not only be aware of atypical presentations of ACS, but also non-traditional risk factors for CHD.
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EM@3AM – Acute Coronary Syndrome
Need a quick refresher on Acute Coronary Syndrome? Let’s talk about unstable angina, NSTEMIs, and STEMIs.
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Treatment of Refractory SVT: Pearls and Pitfalls
Supraventricular tachycardia is often viewed as a simple arrhythmia to fix: start with vagal maneuvers, then go with adenosine. But what if these don’t work. What are your other options?
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Acute Valvular Emergencies: Pearls and Pitfalls
The patient with acute valvular emergency can be terrifying. These patients may rapidly decompensate, and the physiology and management are complex. What can you do to prepare? This post provides pearls and pitfalls in the evaluation and management of patients with acute valvular emergency. You may be surprised what you read…
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The Great and Powerful HEART Score: Does it have a weakness?
The HEART score and pathway have revolutionized evaluation of the chest pain patient in the ED. This pathway can reduce risk of missed major cardiovascular event to < 1%. Many centers utilize the HEART pathway; however, do the score and pathway have a weakness?
The Great and Powerful HEART Score: Does it have a weakness? Read More »
Tachycardic Arrhythmias in Pregnancy: Management
Cardiac arrhythmias are not common in pregnancy, but they can occur. While the workup and management is quite similar to the non-pregnant patient, there are subtle differences. This is a brief review of the ED management of unstable and stable tachycardic arrhythmias in pregnancy.
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ED Management of Heart Failure: Pearls and Pitfalls
Heart failure is a common condition managed in the ED. The primary cause of heart failure is related to ischemic heart disease, but many other conditions can lead to heart failure. Patients can present in several ways. This post investigates the ED evaluation and management of patients with different types of heart failure.
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