2016 Chest Pain Echocardiogram 
Dr. Smith's ECG Blog
OCTOBER 24, 2019
[link] A 30 year-old woman was brought to the ED with chest pain. She had given birth a week ago, and she had similar chest pain during her labor. She attributed the chest pain to anxiety and stress, saying "I'm just an anxious person." The initial troponin I was elevated at 0.75
Dr. Smith's ECG Blog
FEBRUARY 6, 2024
Hopefully a repeat echocardiogram will be performed outpatient. 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. 2016, April 13). 2300: QRS now within normal limits.
Dr. Smith's ECG Blog
OCTOBER 12, 2024
Echocardiogram was obtained and showed mild LVH without regional wall motion abnormality. 2016 Nov;34(11):2182-2185. Epub 2016 Aug 27. Not a STEMI: Reasons I did not think ECG #1 represented an acute STEMI — included the following: There was no history of chest pain. ng/mL and 0.10 ng/mL before returning to 0.05
Dr. Smith's ECG Blog
DECEMBER 19, 2023
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. His echocardiogram showed normal wall motion.
Dr. Smith's ECG Blog
NOVEMBER 25, 2022
The pneumothorax was expanded with a chest tube At 17 hours, another ECG was recorded: It is now much less dramatic and has the morphology of Type 2 Brugada The hs troponin I peaked at 6500 ng/L -- this strongly suggests myocardial contusion. An echocardiogram was done. Is there also Brugada? Right ventricular prominence.
Dr. Smith's ECG Blog
MAY 13, 2017
He complained of severe chest pain and was extremely agitated, so much so that he was throwing chairs in triage. JAMA Internal Med 2016 Dec 1.; In any case, the patient needs at a minimum serial ECGs and perhaps a formal echocardiogram. His chest pain resolved. Here is the ECG: Figure 1: Sinus rhythm.
Dr. Smith's ECG Blog
DECEMBER 11, 2023
See this case: Persistent Chest Pain, an Elevated Troponin, and a Normal ECG. This is different from nitroglycerin which produces vasodilation and can improve by pain improving myocardial perfusion. Her contrast enhanced echocardiogram is shown below in the parasternal short axis view. At midnight. Circulation , 130 (25).
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