Dr. Smith's ECG Blog

MAY 5, 2024

The patient had continued to have chest pain. There was a 100% proximal LAD occlusion that was opened and stented. Pendell Meyers had not started medical school by summer of 2012, but he had read every one of my blog posts over the preceding 4 years. The cath lab was activated. He was a paramedic at the time.

EKG Technician 124

EKG Technician Chest Pain Blog STEMI 124

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

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Written by Willy Frick A man in his 50s with a history of hypertension, dyslipidemia, type 2 diabetes mellitus, and prior inferior OMI status post DES to his proximal RCA 3 years prior presented to the emergency department at around 3 AM complaining of chest pain onset around 9 PM the evening prior. The following ECG was obtained.

Chest Pain 131

Chest Pain Myocardial Infarction Blog Stents 131

Dr. Smith's ECG Blog

MAY 8, 2023

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.

Chest Pain 52

Chest Pain Myocardial Infarction STEMI Pacemaker 52

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. The patient was referred immediately for cath which revealed RCA occlusion that was stented. 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.

Ischemia 123

Ischemia Chest Pain Cardiogenic Shock Cardiac Arrest 123

Dr. Smith's ECG Blog

MARCH 8, 2025

After stent deployment, we often see improvement in the ST-T within seconds or minutes. Here is the final angiogram following placement of a stent in the ostial RCA. 2:04 PM, post stent deployment You can see that even after complete restoration of flow, the ECG still looks terrible, V most of all. link] Mostofsky, E.,

Cardiomyopathy 75

Cardiomyopathy Myocardial Infarction Defibrillator Bradycardia 75