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She did notice something slightly wrong subjectively, but had no palpitations, chestpain, or SOB, or any other symptom. I focus my comment on a few additional aspects regarding new AFib. The Importance of History: We are told that today’s patient is an otherwise healthy woman — who presented to the ED for new AFib.
They had difficulty describing their symptoms, but complained of severe weakness, nausea, vomiting, headache, and chestpain. They described the chestpain as severe, crushing, and non-radiating. Altogether, this strongly suggests inferolateral OMI, particularly in a patient with acute chestpain.
Written by Pendell Meyers and Peter Brooks MD A man in his 30s with no known past medical history was reported to suddenly experience chestpain and shortness of breath at home in front of his family. It was reportedly a PEA arrest; there was no recorded V Fib and no defibrillation. CPR was initiated immediately. This is a quiz.
Written by Willy Frick A 57 year old man with was admitted to the hospital with chestpain. But artifact is "alive and well" — and learning to recognize it will amaze many of your colleagues ( and may serve to avoid an unnecessary defibrillation or two ). The rhythm terminated before it could be captured on 12-lead.
This patient had many complaints including chestpain. Comment by K EN G RAUER, MD ( 2/11 /2023 ): = Today’s case is from a patient with “many complaints”, including chestpain — and, an ECG that raised concern about acute anterior OMI. Treatment is by ICD ( implantable cardioverter defibrillator ).
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