2012 Arrhythmia Chest Pain 
Dr. Smith's ECG Blog
MAY 21, 2023
Whenever a patient does not have chest pain, the pre-test probability of OMI is diminished. Of course SOB, jaw pain, shoulder pain, etc can be a result of OMI, but the pretest probability is less and so you must scrutinize further. Lethal arrhythmias may be a terminal event ( VT/VFib; Asystole ).
Dr. Smith's ECG Blog
JUNE 5, 2024
The patient presented due to chest pain that was typical in nature, retrosternal and radiating to the left arm and neck. He denied any exertional chest pain. It is unclear if the patient was pain free at this time. He has a medical hx notable for hypertension, hyperlipidemia and previous tobacco use disorder.
Ken Grauer, MD
FEBRUARY 13, 2023
The ECG in Figure-1 was obtained from an older woman — who presented with chest pain and palpitations over the previous hour. This familial cardiac arrhythmia is the result of gene mutation. These patients are at high risk for malignant arrhythmias. BP = 140/90 mm Hg in association with the rhythm in Figure-1.
Dr. Smith's ECG Blog
MARCH 15, 2023
She did notice something slightly wrong subjectively, but had no palpitations, chest pain, or SOB, or any other symptom. The Role of Sinus Arrhythmia: I found it interesting to compare the long lead II rhythm strips in the 3 serial tracings from today’s case ( Figure-1 ). She was on no medications. Potassium was normal.
Dr. Smith's ECG Blog
SEPTEMBER 18, 2024
Diagnosis : Atrial flutter with 1:1 conduction, with fast AV conduction made possible by sympathetic drive of exercise On arrival, we obtained another 12-lead: Unremarkable Further history: One month history of shortness of breath on exertion, denies palpitations, chest pain, orthopnea, leg swelling.
Dr. Smith's ECG Blog
MAY 6, 2019
The patient presented with chest pain. I was taught that the tell-tale sign of ischemia vs an electrical abnormality was in the hx, i.e. chest pain for the ischemia and potential syncope for brugada. Only 5-18% of ED patients with chest pain have a myocardial infarction of any kind. Is it Brugada pattern?
Open Heart
APRIL 20, 2022
Methods Patients were retrospectively evaluated between January 2012 and June 2020. Clinical contexts leading to diagnosis were SCD in 3 (6%), ventricular arrhythmias in 15 (29%), chest pain in 8 (15%), heart failure in 6 (12%) and familial screening in 20 (38%).
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