Atrial enlargement ivcd5/30/2023 Venous pCO2 = 47 (normal = 47), which corresponds to an arterial pCO2 of about 40 mmHg. Venous pH = 7.58 (normal = 7.33), corresponds to an arterial pH of 7.65 (very alkalemic) This was done and showed very poor LVF and no WMA.Įlectrolytes and Venous Gas results returned:Ĭhloride = 68 mEq/L (this indicates metabolic alkalosis)Īnion Gap = 3 mEq/L (so there is no serious metabolic acidosis) I recommended a bedside echo and further eval. I said that this is very unlikely to be ischemia because of:ģ) relative clinical stability in a patient with a baseline EF of 10% The physicians were worried about this and showed it to me. ![]() Voltage was high then too, but ST segments were not. The highest ST/S ratio is about 10% (normal).Ītrial fib. But there are also very deep S-waves in V3-V5 and a very tall R-wave in V6. There is a large amount of ST elevation in V3-V5, and ST depression in V6. The QRS = 134 ms, so it is an IVCD (intraventricular conduction delay), but is not LBBB because of Q-waves in I and aVL. The PR interval is 360 ms (the computer read it as 227 ms). The P-wave in V1 has a huge negative component, diagnostic of left atrial enlargement. BP was 87/52, pulse 90, saturations 100%, and respirations 14. ![]() This patient has a history of cardiomyopathy (EF 10%) and IVCD and heart failure and presented with altered mental status.
0 Comments
Leave a Reply. |