AFIB Chest Pain Hypertension 
Dr. Smith's ECG Blog
JULY 7, 2023
An 80-something woman who presented with chest pain and dyspnea. An old formal echo was found from 6 mo ago: Dilated right ventricle with septal flattening and estimated right ventricular systolic pressure of 70 mmHg (significant pulmonary hypertension). This was texted to me. What do you think? Is this posterior OMI?
Ken Grauer, MD
JANUARY 13, 2024
The ECG in Figure-1 was obtained from a middle-aged man with known hypertension — who presented to the ED ( E mergency D epartment ) for CP ( C hest P ain ) over the preceding 2-3 days. BOTTOM Line: Today's patient presented with a 2-3 day history of chest pain and the ECG shown in Figure-1. Should you activate the cath lab?
Dr. Smith's ECG Blog
OCTOBER 10, 2022
Written by Pendell Meyers and Peter Brooks MD A man in his 30s with no known past medical history was reported to suddenly experience chest pain and shortness of breath at home in front of his family. Chest pain, SOB, Precordial T-wave inversions, and positive troponin. What is the Diagnosis? Now another, with ultrasound.
Dr. Smith's ECG Blog
FEBRUARY 6, 2024
ECG of pneumopericardium and probable myocardial contusion shows typical pericarditis Male in 30's, 2 days after Motor Vehicle Collsion, complains of Chest Pain and Dyspnea Head On Motor Vehicle Collision. Gunshot wound to the chest with ST Elevation Would your radiologist make this diagnosis, or should you record an ECG in trauma?
Dr. Smith's ECG Blog
JANUARY 5, 2020
This 60-something with h/o COPD and HFrEF (EF 25%) presented with SOB and chest pain. AFib is the irregularly irregular rhythm that is most commonly confused with MAT — and , AFib is much, much, much more common than true MAT. The patient in this case presented with dyspnea and chest pain. GET a 12-lead!
Dr. Smith's ECG Blog
NOVEMBER 4, 2022
Case submitted and written by Mazen El-Baba MD, with edits from Jesse McLaren and edits/comments by Smith and Grauer A 90-year old with a past medical history of atrial fibrillation, type-2 diabetes, hypertension, dyslipidemia, presented with acute onset chest/epigastric pain, nausea, and vomiting.
Dr. Smith's ECG Blog
NOVEMBER 21, 2024
Written by Pendell Meyers A woman in her 40s presented with acute chest pain and shortness of breath. A 30-something woman with chest pain and h/o pulmonary hypertension due to chronic pulmonary emboli A 30-something with 8 hours of chest pain and an elevated troponin Syncope, Shock, AV block, Large RV, "Anterior" ST Elevation.
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