Dr. Smith's ECG Blog

AUGUST 3, 2017

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. 2015 Nov;20(6):570-7. This case comes from Sam Ghali ( @EM_RESUS ). Thanks, Sam! J Electrocardiol.

Chest Pain 52

Chest Pain Myocardial Infarction STEMI Ischemia 52

EMS 12-Lead

MAY 20, 2022

Cardiology felt her chest pain to be, most likely, the result of coronary supply-demand mismatch in the context of HCM endothelial remodeling (i.e. New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. Below are two examples of this. Tower-Rader, A.

Cardiomyopathy 52

Cardiomyopathy Ischemia STEMI Coronary Angiogram 52

Open Heart

OCTOBER 30, 2024

The quick and reliable prediction of troponin elevation for patients with chest pain from readily available ECGs may pose a valuable time-saving diagnostic tool during decision-making concerning this patient population. All patients had high-sensitivity troponin test results within 6 hours after 12-lead ECG.

Biomarkers 52

Biomarkers Electrocardiogram Chest Pain 52

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. American Heart Journal 170(6):1255-1264; December 2015. 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

Introduction:Over 6 million patients (pts) present to US emergency departments annually with chest pain (CP), of which the majority are found to have no serious disease. Evaluation of these pts results in substantial costs for unnecessary hospitalization and extensive testing.

Chest Pain 40

Chest Pain ACE Inhibitor Cardiac Function Coronary Artery Disease 40

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? 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.

Tachycardia 96

Tachycardia Cardiomyopathy Electrocardiogram Article 96

Dr. Smith's ECG Blog

NOVEMBER 24, 2017

Essential Reading : Full text link: AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram, Part IV: The ST Segment, T and U Waves, and the QT Interval (full text link). Acad Emerg Med 2015 Oct; 22(10):1139-44. Other Research: According to this study b y Batchvarov et al. ,

Bradycardia 52

Bradycardia Article Atrial Fibrillation Chest Pain 52