2009, Chest Pain and Dysrhythmia - Cardiovascular Update

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2009

Chest Pain

Dysrhythmia

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. NEJM 362(9):779; March 4, 2009. NEJM 362(9):779; March 4, 2009. The paramedic’s initial impression of the patient was that he was critically ill.

Ischemia

Ischemia Cardiogenic Shock Aortic Stenosis

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

APRIL 8, 2015

Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Arch Intern Med 2009 Jul 27; 169:1262. Arch Intern Med 2009 Jul 27; 169:1262.

Arrhythmia

Arrhythmia Outcomes Chest Pain Risk Factors

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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

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