News & Updates


Cardiac Evaluation Of Your Patient

Cardiac diagnoses are common in the adult general practice setting. Obtaining an accurate cardiac diagnosis relies on three main aspects. These are: 1) a detailed history; 2) a comprehensive cardiac physical examination and; 3) an electrocardiogram. Learn how to perform an expert cardiac evaluation. Detailed Patient History In general, a cardiovascular history looks for four […]
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Abnormal ECG During Preoperative Assessment

  A routine, preoperative electrocardiogram (ECG) is obtained on many patients over a certain age based on hospital and surgicenter protocols. If it is abnormal, then the task of ”cardiac clearance” falls on the cardiologist or primary provider. How does an abnormal ECG effect a patient’s preoperative evaluation?   Preoperative Assessment Algorithm   The preoperative […]
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ECG Findings That Mimic A Myocardial Infarction

The electrocardiogram (ECG) reads, “Acute Myocardial Infarction,” on the 29 year-old athletic man who comes in for a left biceps tendon tear after being in the weight room. “Now what,” thinks the ER doctor? Other electrocardiographic findings may mimic a myocardial infarction. Here I discuss some of them and what to think. ST and T […]
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Common, Yet Puzzling ECG findings – What To Do About Them!

You look at an electrocardiogram (ECG) and it says “rSR prime in lead V1 or V2” or “borderline left axis deviation.” What does that mean and what do you do? Here, I review multiple common, but puzzling ECG changes and explain what they mean and what can be done about them. Nonspecific Intraventricular Conduction Delay […]
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Identifying Electrocardiogram Errors And Artifacts

Why Should You Be Able To Identify Common ECG Errors? Even though computerized electrocardiogram (ECG) interpretations are fairly reliable, they still do not obviate the need for human confirmation.1 In the setting of technical or set up errors, the computer should never be expected to come up with the correct diagnosis. Every person who interprets […]
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Learn To Read Electrocardiograms – What You Need To Know

Yearly, medical students come to me and ask, “Why do I need to know how to read an electrocardiogram (ECG)?” This is often followed by “What is the best and easiest way to learn to read them?” For a cardiologist, the answer is simple, This is what I do for a living. For the average medical […]
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