Open Heart
JUNE 29, 2023
Contemporary data on recurrent AMI and its association with return emergency department (ED) visits for chest pain are needed. Methods This Swedish retrospective cohort study linked patient-level data from six participating hospitals to four national registers to construct the Stockholm Area Chest Pain Cohort (SACPC).
Dr. Smith's ECG Blog
MAY 20, 2024
A 63 year old man with a history of hypertension, hyperlipidemia, prediabetes, and a family history of CAD developed chest pain, shortness of breath, and diaphoresis after consuming a large meal at noon. He called EMS, who arrived on scene about two hours after the onset of pain to find him hypertensive at 220 systolic.
Dr. Smith's ECG Blog
JULY 14, 2023
Two recent interventions have proven in randomized trials to improve neurologic survival in cardiac arrest: 1) the combination of the ResQPod and the ResQPump (suction device for compression-decompression CPR -- Lancet 2011 ) and 2) Dual Sequential defibrillation. Finally, head-up CPR (which was not used here), makes for better resuscitation.
Open Heart
JANUARY 30, 2024
Methods This study included consecutive patients with iSTEMI treated with percutaneous coronary intervention (PCI) between 1 January 2011 and 15 July 2019 at a single, tertiary referral centre.
Ken Grauer, MD
MARCH 27, 2024
No chest pain. As noted by Moodie in his manuscript on Adult Congenital Heart Disease ( Tex Heart Inst J: 38(6):705, 2011 ) — there are now more people over the age of 20 with CHD than under that age! Physical exam remarkable for tachypnea ( respiratory rate ~30/minute ) and cyanosis, with clubbing of extremities.
Ken Grauer, MD
JULY 22, 2023
The message is clear — If, in a patient with new chest pain — ST-T wave depression is maximal in leads V2 , V3 and/or V4 — consider acute posterior MI until proven otherwise. In 2011 — Niu et al described the presence of an "N-Wave" — or delayed activation wave of the left ventricular basal region. What is an " N -Wave" ?
Dr. Smith's ECG Blog
AUGUST 26, 2009
This is a 58 year old male with 40 minutes of chest pain of acute onset. He was given aspirin and sublingual nitroglycerine, which improved his pain. Research presented at 2011 SAEM in Boston. The cath lab was activated by the paramedics. On arrival, the following ECG was recorded. 18 (5 Suppl 1):Abstract 425, p.
Expert insights. Personalized for you.
52 
Let's personalize your content