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Ken Grauer
321 followers -
My goal is as an ECG/Arrhythmia Interpretation Educator.
My goal is as an ECG/Arrhythmia Interpretation Educator.

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Someone Please HELP! I had been using Google+ as a substitute for some work-related business sites. What I especially liked — was being able to add several descriptive paragraphs of each site (plus relevant links) under the STORY section on my home page. I have accumulated several tens of thousand views over the past few years doing so. Now, all of a sudden with the "new Google+" — I am no longer able to view anything other than selected links. The carefully developed cover design of my old Google pages is also now distorted .... I switched back to the old Google+ version on my computer, BUT — i) As best I can tell, neither tablet nor iPhone allows use at this time of this old version ... and ii) My clients have told me that they either cannot access my Google page any more, or that when they do they no longer see the STORY line. Without being able to add descriptive paragraphs to these business-related sites, they have become worse than useless (because my clients can no longer even access them). Am I missing something? Do you have any suggestions for a solution short of leaving Google+? THANK YOU! — Ken Grauer, MD (ekgpress@mac.com).

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Ken Grauer commented on a post on Blogger.

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Ken Grauer commented on a post on Blogger.
I just finished my ECG Video on the AV Blocks (that I've been working the past month on) - It may be of interest - www.avblockecg.com-

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Ken Grauer commented on a post on Blogger.
Wellens syndrome = tight proximal LAD stenosis that has just occluded ... = time for cath lab.

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Ken Grauer commented on a post on Blogger.
THANKS Jason for the link to an enlargement! The clinical history to me strongly suggests this patient has hyerkalemia as the cause for the ECG abnormalities.

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Ken Grauer commented on a post on Blogger.
Agree with comments by Jason. ECG #1 is not normal. Instead there is nonspecific ST-T wave flattening and slight depression. There is also LVH (R ≥18 in V6) - with these ST-T wave changes potentially indicating "strain equivalent" - med/lyte effect - ischemia - or just being "nonspecific" (and perhaps a harbinger of the 2nd tracing).

The 4th bullet in your presentation does not indicate "de season" - but rather "de syndrome" (as per Jason) - :)

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Ken Grauer commented on a post on Blogger.
John - Do you have clinical follow-up from this case? Thanks - :)

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Ken Grauer commented on a post on Blogger.
John just provided the answer to this post at - http://jhcedecg.blogspot.com/2014/10/ecg-of-week-13th-october-2014.html - 

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Ken Grauer commented on a post on Blogger.
We see obvious marked bradycardia and really lack of P waves. There are only 4 beats on the tracing - and they are in pairs. The answer should be in the Dig, K+ & Mg++ levels (strongly suspect Dig toxicity, as well as lute depletion). IF the patient is stable - this might all resolve with simple electrolyte repletion (without need for Digibind …. which could of course be used if needed ). Suspect some form of AV Block from probable Dig toxicity (perhaps there is underlying AFib?) - though what the rhythm is at this point will be less important than what it will be after normalization of Dig level & lytes. Awaiting follow-up.
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