Dr. Smith's ECG Blog

JANUARY 15, 2024

Colin is an emergency medicine resident beginning his critical care fellowship in the summer with a strong interest in the role of ECG in critical care and OMI. They had difficulty describing their symptoms, but complained of severe weakness, nausea, vomiting, headache, and chest pain. Edits by Willy Frick.

Chest Pain 64

Chest Pain Blog Arrhythmia Critical Care 64

Dr. Smith's ECG Blog

AUGUST 13, 2020

Instead, he complained of left chest "itchiness". He was brought to the critical care area where these rhythms were seen on the monitor: Wide complex tachycardia with no apparent P-waves, and very irregular Consistent with atrial fibrillation with aberrancy A Regular wide complex tachycardia. LV Aneurysm?

Tachycardia 52

Tachycardia AFIB Cardiogenic Shock Myocardial Infarction 52

Dr. Smith's ECG Blog

NOVEMBER 23, 2024

1) Very high initial troponin of 45,000 ng/L 2) A full day of chest pain 3) Q-waves on the ECG, with some T-wave inversion Here is one frame of the CT scan which includes the heart: Can you spot the infarct? There is STE in V5-6. There are new Q-waves in aVL, V5-6. SUBACUTE) OMI, that would result in an undesirable delay.

Blog 63

Blog Chest Pain Myocardial Infarction Critical Care 63