Remove 2010 Remove Pacemaker Remove Tachycardia
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Chest pain, shortness of breath, T wave inversion, and rising troponin in a young healthy runner.

Dr. Smith's ECG Blog

T-wave inversions and dynamic ST elevation Tachycardia, hyperthyroid, and ST elevation. A nice Review of EIA by Molis and Molis can be found in Sports Health 2:311-317, 2010. This gradual change in P wave morphology as the heart rate varies could be consistent with a wandering atrial pacemaker. What is it? Anterior STEMI?

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

Dr. Smith's ECG Blog

If the patient has Abnormal Vital Signs (fever, hypotension, tachycardia, or tachypnea, or hypoxemia), then these are the primary issue to address, as there is ongoing pathology which must be identified. J Am Coll Cardiol, 2010; 55:713-721, doi:10.1016/j.jacc.2009.09.049 Syncope with Exertion (EGSYS) 7. S yncope while supine (EGSYS) 8.