2025 Chest Pain Tachycardia 
The British Journal of Cardiology
MARCH 4, 2025
Coronary artery spasm (CAS), or Prinzmetal angina, is a recognised cause of myocardial ischaemia in non-obstructed coronary arteries which typically presents with anginal chest pain. The patient presented with recurrent palpitations and pre-syncope, with no chest pain.
Dr. Smith's ECG Blog
JANUARY 28, 2025
Written by Hans Helseth A 34 year old man with no known medical history presented to the ED after an hour of chest pain. He described the pain as a mid sternal "burning sensation" and rated it 8.5 out of 10 at onset, but on presentation to the ED, reported that the pain had improved to 4.5. 10 chest pain.
Dr. Smith's ECG Blog
JANUARY 24, 2025
Ventricular tachycardia?) The patient received three nitroglycerin tablets with significant "improvement" in his chest pain. Improved chest pain is unresolved chest pain. I am commonly told, and I commonly read in the chart that chest pain is resolved. What do you think? Proximal LAD."
Dr. Smith's ECG Blog
MARCH 3, 2025
A 69 year old woman with a history of hypertension presented to the emergency department by EMS for evaluation of chest pain and shortness of breath. She awoke in the morning with sharp chest pain which worsened throughout the morning. As her pain worsened, so did her dyspnea. This was written by Hans Helseth.
Dr. Smith's ECG Blog
APRIL 21, 2025
See these other related cases: Acute chest pain and ST Elevation. A woman in her 20s with syncope 80-something year old with acute chest pain. CT done to look for aortic dissection. Although other entities may produce various forms of alternans ( as discussed in the Oct.
Dr. Smith's ECG Blog
JANUARY 21, 2025
He denied chest pain. A Chest X-ray did not show pulmonary edema. This ECG was recorded: It is difficult to appreciate P-waves, but I believe this is sinus tachycardia. It is correct that he did not have chest pain, but we must remember that fully 1/3 of full blown STEMI do not present with chest pain.
Ken Grauer, MD
JANUARY 2, 2025
In view of the clinical history ( ie, that this patient had a history of longstanding AFlutter but as far as we know, no chest pain ) this ST-T wave change most likely reflects a "memory" effect , in which there will often be ST-T wave abnormalities that persist for hours ( up to a few days ) following a long period of a sustained tachycardia.
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