2019 Chest Pain Ischemia 
Dr. Smith's ECG Blog
JUNE 21, 2023
Sent by Magnus Nossen MD, written by Pendell Meyers A man in his 50s, previously healthy, developed acute chest pain. The primary care physician there evaluated this patient and deemed the chest pain to be due to gastrointestinal causes. Clinical Cardiology 2019. No troponins were measured!
Dr. Smith's ECG Blog
AUGUST 6, 2024
Written by Magnus Nossen with Edits by Grauer and Smith The ECGs in today’s case are from 3 different patients all presenting with new-onset CP ( Chest Pain ). In any case, the ECG is diagnostic of severe ischemia and probably OMI. All ECGs were recorded by EMS, and transferred to a PCI capable center for evaluation.
Dr. Smith's ECG Blog
APRIL 9, 2024
By Magnus Nossen This ECG is from a young man with no risk factors for CAD, he presented with chest pain. The patient is a young adult male with chest pain. The chest pain was described as pressure like and radiation to both arms and the jaw. How would you assess this ECG? What is your next step?
Dr. Smith's ECG Blog
OCTOBER 18, 2023
Written by Jesse McLaren Four patients presented with chest pain. Other signs of OMI that complement the ECG include new regional wall motion abnormalities and refractory ischemia References 1. 2019 ; 54 : 79 - 81. Hughes KE , Lewis SM , Katz L , Jones J. Acad Emerg Med. 2017 ; 24 ( 1 ): 120 - 124 2. Am J Emerg Med.
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." This strongly suggests reperfusing RCA ischemia.
Dr. Smith's ECG Blog
MARCH 8, 2019
A previously healthy middle-aged male presented shortly after the acute onset of chest pain very shortly before calling 911. On arrival, he was pain free: What do you think? Jerry Jones commented: "Any ST depression on the ECG of a patient with chest pain credible for ACS represents a reciprocal change until proved otherwise."
Dr. Smith's ECG Blog
DECEMBER 10, 2019
This is a previously healthy male teenager who was awoken by chest pain. The pain is described as located in the midsternal area, radiating to the right arm, described as 8-9/10 and worse with deep inspirations. In the evening, he became diaphoretic and complained of 9/10 continuous chest pain.
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