But then it passed, as all things do—
The storm, the ache, the fading blue.
Love, too, slipped softly out of view,
And left behind a softer you.
🎨 Rothko
What do you make of this ECG?
Sometimes, the ECG tells a story the patient hasn’t heard yet.
(And one or two more little details in the ECG—but nothing the patient needs to worry about.)
⚠️50mm/s
Sometimes, finding the right words is harder than reading the tracing.
A patient tells me he had “just a little heart attack,” successfully treated with a stent in the LAD.
You already know the EF. You already know where the ventricular aneurysm is, don’t you?
39y/o asymptomatic woman.
Holter shows a 34% burden of monomorphic PVCs.
Echo done elsewhere: mild mitral valve prolapse.
What do you make of her 12-lead ECG? There seem to be quite a few things going on…
What would you do next?
I’d really appreciate hearing your thoughts!🌺
Nothing special, but it keeps happening every now and then 🙂
This is a clip from a Holter ECG recording of an 84y/o woman with arterial hypertension.
Would you mind taking a look and telling me what you see?
What would you do in this situation?
A 38-year-old asymptomatic man has a 14% burden of monomorphic PVCs on Holter monitoring.
How would you manage this patient?
Does identifying the PVC origin help guide further management?
I have watched the evening
turn slowly into night,
heard the water against the shore,
and thought of nothing in particular.
Except, perhaps,
for a moment.
Working in an ICU teaches you lot about life, medicine & human body.
I guess.. It shows you how fragile and unpredictable life can be & how within just few seconds, everything can change so quickly.
Some hearts are stormy seas,
where restless waves refuse to sleep.
And some shores were never made
to hold the tides that run too deep.
And maybe that is all there is—
two hearts can touch like waves at night,
then drift apart through different days.
🎨Achenbach
On X,
we cast our words upon the sea.
Some are swallowed by the deep.
Some are carried by the wind.
Some drift beyond the horizon
until, one day,
they find a shore
we never knew existed.
That is the risk.
That is the wonder.
That is the beauty.
🎨 Hopper
