2019 Chest Pain Dysrhythmia 
Dr. Smith's ECG Blog
MARCH 2, 2019
Opinions vary widely on the K level at which a patient must be admitted on a monitor because of the risk of ventricular dysrhythmias. My rationale is that if the K is affecting the ECG, then it is affecting the electrical milieu and can result in serious dysrhythmias. Until some real data is available, my opinion is this: 1.
Dr. Smith's ECG Blog
JANUARY 5, 2020
This 60-something with h/o COPD and HFrEF (EF 25%) presented with SOB and chest pain. IJC Heart and Vasculature 25(2019). Atrial dysrhythmias, and atrial fi brillation in particular, are frequently misdiagnosed by computer algorithms and then by the physician who overreads them. Here is the ECG: What do you think?
Dr. Smith's ECG Blog
JANUARY 30, 2019
It was from a patient with chest pain: Note the obvious Brugada pattern. The elevated troponin was attributed to either type 2 MI or to non-MI acute myocardial injury. There is no further workup at this time. Smith: Here is a case that was just texted to me today from a former resident. This patient ruled out for MI.
Dr. Smith's ECG Blog
APRIL 15, 2020
Inferior MI results in scar tissue which is a likely source of a re-entrant ventricular dysrhythmia. M Y T HOUGHTS : I have previously reviewed my Systematic Approach to Rhythm Interpretation ( See My Comment in the October 16, 2019 post ). This would be the likely source of the VT. Figure-1: The 2 ECGs in this case ( See text ).
Dr. Smith's ECG Blog
MARCH 6, 2020
This middle-aged man with no cardiac history but with significant history of methamphetamin and alcohol use presented with chest pain and SOB, worsening over days, with orthopnea. E CG # 2 in Figure-1 is from the October 16, 2019 post on Dr. Smith’s Blog. BP:143/99, Pulse 109, Temp 37.2 °C C (99 °F), Resp (!)
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