Remove 2013 Remove Angina Remove Chest Pain
article thumbnail

Chest pain, a ‘normal’ ECG, a 'normal trop', and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.

Dr. Smith's ECG Blog

Written by Jesse McLaren, with comments from Smith and Grauer A 60 year old presented with three weeks of intermittent non-exertional chest pain without associated symptoms. A prospective validation of the HEART score for chest pain patients at the emergency department. Int J Cardiol 2013 2. Shin YS, Ahn S, Kim YJ.

article thumbnail

Concerning EKG with a Non-obstructive angiogram. What happened?

Dr. Smith's ECG Blog

link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. He described it as "10/10" intensity, radiating across his chest from right to left. This is written by Willy Frick, an amazing cardiology fellow in St.

Plaque 123
article thumbnail

Occlusion/reperfusion through 6 ‘normal’ ECGs

Dr. Smith's ECG Blog

Arch Cardiovasc Dis 2013 Khan AR et al. Smith : this proves my impression that the inferior T-waves on the first ECG are hyperacute. But others are not as fortunate, so we should learn from these near misses to better identify signs of occlusion and reperfusion. JAHA 2022 Grosmaitre P et al. Eur Heart J 2017 Driver BE, Shroff GR, Smith SW.

STEMI 40
article thumbnail

How does Acute Total Left Main Coronary occlusion present on the ECG?

Dr. Smith's ECG Blog

His comments/questions are inserted below the ECG: A 50-something woman presented with 3 days of intermittent chest pain that became worse on the day of presentation, with diaphoresis and radiation to the left arm, as well as abdominal pain. Beware crescendo angina in patient with known CAD ST Elevation in aVR Case 7.