2019 Chest Pain Ischemia 
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
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
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
NOVEMBER 1, 2022
2 days later This is a typical LVH pattern, without ischemia Patient underwent 4 vessel CABG. Upon questioning patient, he denies having any chest pain or chest tightness of any sort. Pericarditis would be even more unlikely in someone without chest pain. Chest pain is squeezing or tight in nature.
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.
Dr. Smith's ECG Blog
MAY 6, 2019
The patient presented with chest pain. Followup ECG: No Change Absence of evolution is the best evidence against ischemia as the etiology. I was taught that the tell-tale sign of ischemia vs an electrical abnormality was in the hx, i.e. chest pain for the ischemia and potential syncope for brugada.
Dr. Smith's ECG Blog
JULY 11, 2019
Written and submitted by Ashley Mogul, with edits by Pendell Meyers and Steve Smith A man in his 40s with recent smoking cessation but otherwise no known past medical history presented due to chest pain since the previous evening. The pain has been constant and associated with vomiting and diaphoresis.
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