2015 Arrhythmia Chest Pain 
Dr. Smith's ECG Blog
SEPTEMBER 11, 2024
No Chest Pain, but somnolent. The fact that this is syncope makes give it a far lower pretest probability than chest pain, but it was really more than syncope, as the patient actually underwent CPR and had hypotension on arrival of EMS. The American Journal of Emergency Medicine 2015; 33(6):786-790.
Dr. Smith's ECG Blog
SEPTEMBER 29, 2023
Sent by anonymous, written by Pendell Meyers, reviewed by Smith and Grauer A man in his 40s presented to the ED with HTN, DM, and smoking history for evaluation of acute chest pain. He was eating lunch when he had sudden onset chest pressure, 9/10, radiating to his back, with sweating and numbness in both hands.
Dr. Smith's ECG Blog
MAY 21, 2023
Whenever a patient does not have chest pain, the pre-test probability of OMI is diminished. Of course SOB, jaw pain, shoulder pain, etc can be a result of OMI, but the pretest probability is less and so you must scrutinize further. Lethal arrhythmias may be a terminal event ( VT/VFib; Asystole ).
Dr. Smith's ECG Blog
FEBRUARY 6, 2024
ECG of pneumopericardium and probable myocardial contusion shows typical pericarditis Male in 30's, 2 days after Motor Vehicle Collsion, complains of Chest Pain and Dyspnea Head On Motor Vehicle Collision. Gunshot wound to the chest with ST Elevation Would your radiologist make this diagnosis, or should you record an ECG in trauma?
Dr. Smith's ECG Blog
SEPTEMBER 18, 2024
Diagnosis : Atrial flutter with 1:1 conduction, with fast AV conduction made possible by sympathetic drive of exercise On arrival, we obtained another 12-lead: Unremarkable Further history: One month history of shortness of breath on exertion, denies palpitations, chest pain, orthopnea, leg swelling.
Dr. Smith's ECG Blog
JUNE 2, 2023
She denied chest pain and denied feeling any palpitations, even during her triage ECG: What do you think? Free full text: [link] There are 6 categories of criteria : 1) Imaging 2) Pathologic 3) ECG Repolarization 4) ECG Depolarization 5) Arrhythmias 6) Family History.
Dr. Smith's ECG Blog
FEBRUARY 8, 2022
Although in the context of chest pain such ST depression would be all but diagnostic of posterior OMI, one should make no conclusions in such an unusual case. Sci 5[4] 268-270, 2015 ) both highlight a likely association between acute development of ischemic J waves — and high risk of developing malignant ventricular arrhythmias.
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