DAIC

APRIL 25, 2024

Patients with aortic stenosis often have heart murmurs and experience debilitating symptoms including chest pain, dizziness, fatigue, shortness of breath and an irregular heartbeat. As a result, the heart must work "over time" to pump blood throughout the body.

Heart Valves 105

Heart Valves Stenosis Aortic Aortic valve 105

DAIC

MARCH 28, 2025

TheNational Institute for Health and Care Excellence(NICE) recommends CCTA as the first-line investigation for patients with chest pain due to suspected CAD, highlighting its importance in improving diagnostic certainty. 2012) 380:2095128. Eur J Radiol. 2008;66(1):3741. doi:10.1016/j.ejrad.2007.05.006. 2007.05.006. link] iv IMV.2023

Technology 59

Technology Coronary Artery Disease Atrial Fibrillation Medicare 59

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%).

Cardiomyopathy 52

Cardiomyopathy Chest Pain Sudden Cardiac Death Heart Failure 52

Dr. Smith's ECG Blog

JULY 22, 2023

He denied chest pain or shortness of breath. In the clinical context of weakness and fever, without chest pain or shortness of breath, the likelihood of Brugada pattern is obviously much higher. Today's patient presented with acute weakness, syncope and fever, but no chest pain or shortness of breath.

Chest Pain 92

Chest Pain Heart Rhythm Sudden Cardiac Death Dysrhythmia 92

Dr. Smith's ECG Blog

MAY 23, 2014

This patient presented with a mechanical fall and had chest pain. His chest pain increased and this ECG was recorded: Now there is increasing inferior ST elevation. Severe Left Main disease, and chest pain with contrast injection into the LM. This case shows a CT image of subendocardial ischemia.

Ischemia 52

Ischemia Chest Pain STEMI Outpatient 52

Dr. Smith's ECG Blog

JANUARY 2, 2016

A middle aged male presented with chest pain. In LVH, T-wave inversions are usually much more assymetric , like these (Figure 2): Acute Chest pain, but baseline ECG. And sometimes the lateral T-wave is biphasic, with the terminal portion more upright (Figure 3): Acute chest pain. Baseline EKG, no MI.

Ischemia 52

Ischemia Chest Pain STEMI Myocardial Infarction 52

DAIC

APRIL 25, 2024

Patients with aortic stenosis often have heart murmurs and experience debilitating symptoms including chest pain, dizziness, fatigue, shortness of breath and an irregular heartbeat. As a result, the heart must work "over time" to pump blood throughout the body.

Heart Valves 59

Heart Valves Stenosis Aortic Aortic valve 59

DAIC

JANUARY 3, 2024

With more than 500 peer-reviewed publications, the HeartFlow FFR CT Analysis remains unparalleled in precision coronary care, as supported by the ACC/AHA Chest Pain Guidelines, to improve treatment plans and outcomes. Arbab-Zadeh, Heart Int 2012. 2021 ACC/AHA Chest Pain Guidelines. Yokota, et al. Patel et al.

Coronary Artery Disease 59

Coronary Artery Disease Chest Pain Plaque Technology 59

Circulation

NOVEMBER 11, 2024

We aimed to examine the diagnostic ability of the score and attempted to improve the predictivity for identifying patients with VSA.Methods:From May 2012 to September 2023, a total 1029 patients underwent ACh provocation test for diagnosing VSA. The original and modified ABCD score were calculated as shown in Figure 1.

Coronary Artery Bypass Graft 40

Coronary Artery Bypass Graft Chest Pain Angina Cholesterol 40

Dr. Smith's ECG Blog

OCTOBER 8, 2023

All of the patients presented with chest pain , and they are all in triage. Triage is backed up, and 10 minutes into your shift one of the ED nurses brings your several ECG s that has not been overread by a physician. Which, if any, of these patients has OMI, with myocardium at risk and need for emergent PCI?

Ischemia 123

Ischemia Chest Pain Cardiogenic Shock Cardiac Arrest 123

Dr. Smith's ECG Blog

MARCH 13, 2013

A 36 yo male smoker presented to the ED with chest pain. It had started the night before as "indigestion" and had progressed to 8/10 substernal chest pressure radiating to the right shoulder/jaw associated with diaphoresis, nausea, and SOB. Wong, 2012) STE in aVR of at least 0.5 Wong, 2012) STE in aVR of at least 0.5

STEMI 52

STEMI Myocardial Infarction Electrocardiogram Chest Pain 52

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. She had a history of hypertension, and was on medication for this — but she was otherwise healthy. BP = 140/90 mm Hg in association with the rhythm in Figure-1. How would YOU interpret the rhythm in Figure-1 ?

Blog 78

Blog Arrhythmia Exercise Chest Pain 78

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.

Atrial Flutter 64

Atrial Flutter Exercise AFIB Tachycardia 64

Dr. Smith's ECG Blog

JUNE 2, 2023

She denied chest pain and denied feeling any palpitations, even during her triage ECG: What do you think? e5 Article Download PDF Google Scholar 3 RNW Hauer, MGPJ Cox, JA Groeneweg Impact of new electrocardiographic criteria in arrhythmogenic cardiomyopathy Front Physiol, 3 (2012), p. J Electrocardiol, 42 (2009), pp.

Tachycardia 96

Tachycardia Cardiomyopathy Electrocardiogram Article 96

Dr. Smith's ECG Blog

JANUARY 30, 2019

It was from a patient with chest pain: Note the obvious Brugada pattern. The elevated troponin was attributed to either type 2 MI or to non-MI acute myocardial injury. There is no further workup at this time. Smith: Here is a case that was just texted to me today from a former resident. This patient ruled out for MI.

Heart Rhythm 52

Heart Rhythm Sudden Cardiac Death Arrhythmia STEMI 52

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. This middle-aged patient has a remote history of cardiac surgery as a young child for a "heart murmur". Her Apple Watch suddenly told her that she is in atrial fibrillation. She was on no medications.

Atrial Fibrillation 52

Atrial Fibrillation AFIB Arrhythmia Exercise 52

Coronary Artery Disease Journal

JULY 7, 2024

Methods Patients admitted to a single center with acute myocardial infarction (MI) between 1 January 2012 and 31 December 2018, were identified by chart and angiographic review. For secondary outcomes, rates of CVA were 1.7%, chest pain readmission was 22.4%, and repeat angiography was 8.9%. Rates of nonfatal MI were 6.3%

Myocardial Infarction 40

Myocardial Infarction Chest Pain Angina Outcomes 40

Dr. Smith's ECG Blog

DECEMBER 5, 2019

J Electrocardiology 45 (2012):433-442. The patient denied any chest pain whatsoever, and a troponin at zero and 2 hours were both undetectable. Thus, Brugada is the likely diagnosis _ A very nice explanation of this is given in the document quoted below on current ECG criteria for Brugada pattern. Bayes de Luna, A et al.

Sudden Cardiac Death 52

Sudden Cardiac Death Heart Rhythm Article Tachycardia 52

Dr. Smith's ECG Blog

MARCH 8, 2025

He had no chest pain, dyspnea, or any other anginal equivalent, and his vital signs were normal. The cardiologist thought she had stent thrombosis which is possible, but I do not necessarily think is sufficient to explain her complete hemodynamic collapse. Multidisciplinary critical care management of electrical storm. Maclure, M.,

Cardiomyopathy 75

Cardiomyopathy Myocardial Infarction Defibrillator Bradycardia 75