2014 Chest Pain Tachycardia 
Dr. Smith's ECG Blog
OCTOBER 17, 2024
Written by Jesse McLaren Two patients in their 70s presented to the ED with chest pain and RBBB. Patient 1 : a 75 year old called paramedics with one day of left shoulder pain which migrated to the central chest, which was worse with deep breaths. There is sinus tachycardia at ~100/minute. Vitals were normal.
Dr. Smith's ECG Blog
MAY 16, 2023
Sent by Dan Singer MD, written by Meyers, edits by Smith A man in his late 30s presented with acute chest pain and normal vitals except tachycardia at about 115 bpm. Dr. Singer sent this to me with just the information: "~40 year old with acute chest pain". Anxiety is a common cause of chest pain with tachycardia.
Dr. Smith's ECG Blog
DECEMBER 14, 2016
A middle aged male presented at midnight after 14 hours of constant, severe substernal chest pain, radiating to his throat and to bilateral jaws, and associated with diaphoresis. The pain was not positional, pleuritic, or reproducible. This is from the 2014 ACC/AHA guidelines. It was not relieved by anything.
Ken Grauer, MD
AUGUST 16, 2024
I see the following: There is sinus tachycardia ( upright P wave with fixed PR interval in lead II ) — at the rapid rate of ~130/minute. Sinus Tachycardia and RAD — as already noted above. PEARL # 2: In the absence of associated heart failure ( cardiogenic shock ) — sinus tachycardia is not a common finding in acute MI.
Dr. Smith's ECG Blog
SEPTEMBER 23, 2024
It shows sinus tachycardia with right bundle branch block. Taking a step back , remember that sinus tachycardia is less commonly seen in OMI (except in cases of impending cardiogenic shock). But the History in today's case was acute shortness of breath with dizziness and lightheadedness — and, essentially without chest pain!
Dr. Smith's ECG Blog
MARCH 11, 2019
Here is data from a study we published in 2014 for type II NonSTEMI: Sandoval Y. In such cases, it is common for tachycardia to exaggerate the ST Elevation And, in fact, there was no new acute MI at this visit - troponins did not rise again. At some point he returned with chest pain, and all these findings were put into place.
Dr. Smith's ECG Blog
JULY 1, 2019
Case 2: sent by Dr. James Alva A man in his 50s with diabetes, hypertension, and hyperlipidemia presented to the ED with chest pain and shortness of breath off and on over the past three days, with associated vomiting. M y T HOUGHTS on E CG # 1 — The patient in Case #1 was a 60-something woman with acute dyspnea, but no chest pain.
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