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Podcast 128 - Who Gets A Right-Sided ECG? w/ Dr. Stephen Smith & Tom Bouthillet

FOAMfrat Podcast

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How to Diagnose a Fib and Rapid Ventricular Response With ST Depression

I've noticed a lot of times in a patient with either pre-existing coronary stable coronary artery disease that maybe presents with a fib and rapid ventricular response. I always get the heart rate slowed down first before you decide whether it's subendocardial ischemia or posterior my. People with exactly a situation you're talking about, a fib with RVR, when they don't have posterior my, they frequently have maximal ST depression V1 to V4. Interesting. And then how about bedside echo? Bedside echo with subend Cardiomyopathy can be completely normal because the epicardium is still functioning fine. But with posterior my, if you're really good at

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