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Identifying Complete Heart Block and the use of Temporary Cardiac Pacing in the Emergency Department

Third degree, or complete, heart block indicates complete dissociation between the atria and the ventricles. It is a cardiac emergency that has numerous causes including primary cardiac, electrolyte and medication toxicity. It needs to be managed with emergent pacing, either trancutaneous or transvenous. This article describes complete heart block and its management.

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Subtle ECG Findings in ACS: Part I Left Main Coronary Artery Disease

When it comes to ACS, some ECGs are obvious. This article is not about those ECGs. This article will be the first in a series of blog posts related to subtle ECG findings in ACS. In this post we will look at ECG findings associated with left main coronary artery disease and explore the significance of ST-segment elevation in the “forgotten lead”.

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