Remove 2012 Remove Chest Pain Remove Electrocardiogram
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Right precordial ST depression in a patient with chest pain

Dr. Smith's ECG Blog

A 70-year-old man calls 911 after experiencing sudden, severe chest pain. Common pitfalls in the interpretation of electrocardiograms from patients with acute coronary syndromes with narrow QRS: a consensus report. 2012 Sep;45(5):463-75. This case comes from Sam Ghali ( @EM_RESUS ). Thanks, Sam! O'Gara et al. Circulation.

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A man in his 70s with acute chest pain and paced rhythm.

Dr. Smith's ECG Blog

Edits by Meyers and Smith A man in his 70s with PMH of hypertension, hyperlipidemia, type 2 diabetes, CVA, dual-chamber Medtronic pacemaker, presented to the ED for evaluation of acute chest pain. Annals of Emergency Medicine 2012; 60(12):766-776. Triage ECG: What do you think? This is diagnostic of proximal LAD occlusion.

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A man in his 70s with weakness and syncope

Dr. Smith's ECG Blog

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. Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. PM Cardio digitized version.

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A young lady with wide complex tachycardia. My first time actually making this diagnosis de novo in real life in the ED!

Dr. Smith's ECG Blog

She denied chest pain and denied feeling any palpitations, even during her triage ECG: What do you think? 1211-1212 CrossRef View Record in Scopus Google Scholar 2 FI Marcus, W Zareba The electrocardiogram in right ventricular cardiomyopathy/dysplasia. J Electrocardiol, 42 (2009), pp.

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Septal STEMI with ST elevation in V1 and V4R, and reciprocal ST depression in V5, V6

Dr. Smith's ECG Blog

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
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Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

It was from a patient with chest pain: Note the obvious Brugada pattern. Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. 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. This patient ruled out for MI.

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A young F is hyperthermic, delirious, and dry: Fever-induced Brugada? Diphenhydramine toxicity? Tricyclic?

Dr. Smith's ECG Blog

J Electrocardiology 45 (2012):433-442. The patient denied any chest pain whatsoever, and a troponin at zero and 2 hours were both undetectable. Fever not only unmasks a Brugada-type electrocardiogram (ECG) but also increases the risk of ventricular tachyarrhythmias such as ventricular fibrillation (VF) or sudden cardiac death.