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Mentation and bloodpressure were normal. He had no chestpain or shortness of breath. The patient did well and was referred for ablation. Written by Pendell Meyers A teenager was playing basketball when he suddenly developed palpitations and lightheadedness. Heart rates on the monitor fluctuated from 180-250 bpm.
Written by Bobby Nicholson MD and Pendell Meyers A man in his 30s presented to the ED for evaluation of chestpain and palpitations. At this point, the patient had been symptomatic for almost 5 hours, appeared unwell with chestpain and diaphoresis. His bloodpressure was 118/96.
ET Murphy Ballroom 4 Comparison of an "Inclisiran First" Strategy with Usual Care in Patients With Atherosclerotic Cardiovascular Disease: Results From the VICTORION-INITIATE Randomized Trial Targeting Weight Loss to Personalize the Prevention of Type 2 Diabetes Once-weekly Semaglutide in Patients with Heart Failure With Preserved Ejection Fraction, (..)
AFib causes a variety of symptoms, including fast or chaotic heartbeat, fatigue, shortness of breath, and chestpain, and causes about 450,000 hospitalizations each year, according to the Centers for Disease Control and Prevention. Still, he emphasized the need for a multipronged approach for better success.
A 34 yo woman with a history of HTN, h/o SVT s/p ablation 2006, and 5 months post-partum presented with intermittent central chestpain and SOB. She had one episode of pain the previous night and two additional episodes early on morning the morning she presented. Deep breaths are painful and symptoms come and go.
Medical treatment for heart failure was optimized and after a few days the patient was discharged with referral to VT ablation procedure. Learning points *A patient with tachydysrhythmia and chest discomfort needs immediate rhythm or rate control. After atrial rhythm/SR was restored the patient slowly improved.
The patient in today’s case is a previously healthy 40-something male who contacted EMS due to acute onset crushing chestpain. The pain was 10/10 in intensity radiating bilaterally to the shoulders and also to the left arm and neck. An Impella device was placed to maintain cardiac output and perfusion pressures.
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