2021 Chest Pain Echocardiogram 
Dr. Smith's ECG Blog
NOVEMBER 22, 2023
While in the ED, patient developed acute dyspnea while at rest, initially not associated with chest pain. He later developed mild continuous chest pain, that he describes as the sensation of someone standing on his chest. See this post: What do you think the echocardiogram shows in this case?
Dr. Smith's ECG Blog
JULY 14, 2023
Formal Echocardiogram: Normal left ventricular size and wall thickness. For example — Baldi et al note a more than doubling in the number of false-positive ECGs for STEMI i f judgments were based on post-resuscitation 12-lead tracings obtained less than 7 minutes after ROSC ( Resuscitation 162:445-446, 2021 ).
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 30, 2022
This patient, who is a mid 60s female with a history of hypertension, hyperlipidemia and GERD, called 911 because of chest pain. A mid 60s woman with history of hypertension, hyperlipidemia, and GERD called 911 for chest pain. It is also NOT the clinical scenario of takotsubo (a week of intermittent chest pain).
Dr. Smith's ECG Blog
DECEMBER 18, 2022
Case A 39-year-old male without prior medical history presents with chest pain that started 2 hours prior to presentation. He says that the pain intensity was 10/10 at home but now about 4/10. Despite the clinical stability and decreasing pain, this patient needs an immediate angiogram. 2021 Dec 7;10(23):e022866.
Dr. Smith's ECG Blog
FEBRUARY 4, 2022
A 40 something otherwise healthy man presented with substernal chest pain. Formal Echocardiogram: The estimated left ventricular ejection fraction is 58 %. Epub 2021 Nov 17. It had occurred once 3 days prior and resolved without any medical visit. What do you think? This ECG is DIAGNOSTIC of acute LAD Occlusion.
Dr. Smith's ECG Blog
DECEMBER 22, 2022
His medical history is unremarkable except a similar pain occurred 4-5 times in the previous 3 months with less intensity, short duration, unrelated to exertion. He visited an outpatient clinic for it and an echocardiogram and exercise stress test was normal. 2021 Sep;49(6):488-500. He has 40 packs-year of smoking history.
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