2012 Chest Pain Defibrillator 
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.
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?
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.
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. Implantable Cardioverter-Defibrillator ), with long-term potential for device-related complications from the ICD, including inappropriate shocks? Bayes de Luna, A et al.
Dr. Smith's ECG Blog
MARCH 8, 2025
Several 200 J shocks did not terminate the VF, so a second defibrillator was applied for double sequential defibrillation with 400 J. She was defibrillated perhaps 25 times. He had no chest pain, dyspnea, or any other anginal equivalent, and his vital signs were normal. SanzRuiz, R., Solis, J., & Verbeek, P.
Expert insights. Personalized for you.
52 
Let's personalize your content