Anatomy Hypertension Ischemia 
Dr. Smith's ECG Blog
MARCH 22, 2024
Written by Willy Frick A man in his 50s with history of hypertension, hyperlipidemia, and a 30 pack-year smoking history presented to the ER with 1 hour of acute onset, severe chest pain and diaphoresis. The fact that R waves 2 through 6 are junctional does make ischemia more difficult to interpret -- but not impossible.
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. His response: “subendocardial ischemia.
BoardVitals - Cardiovascular
SEPTEMBER 29, 2017
Which of the vessels likely provides blood supply to the circled area in the below polar plot image in a patient with normal coronary anatomy? A 48 year-old female with hypertension, hyperlipidemia, chronic low back pain, and bilateral lower extremity neuropathy. Which of the vessels is likely the culprit vessel causing the ischemia?
Dr. Smith's ECG Blog
OCTOBER 6, 2018
The patient was in his 50s with history of hypertension, diabetes, seizure disorder, and smoking, but no known coronary artery disease. If the patient had been "lucky," his symptoms from the prior day might have been due to ischemia prolonged and intense enough to result in small troponin increase. EF was 55%.
MIBHS
OCTOBER 31, 2024
High Blood Pressure (Hypertension) Persistent high blood pressure forces the heart to work harder to pump blood. This may result in ischemia (lack of oxygen to the heart muscle), causing parts of the heart to weaken and enlarge. Here are some of the most common causes: 1.
Dr. Smith's ECG Blog
SEPTEMBER 20, 2018
Written by Pendell Meyers, edits by Steve Smith A man in his 60s with history of hypertension and MI 10 years ago, with PCI, presented to an outside hospital complaining of chest pain that started while mowing the lawn. because if it does, then urgent cath to define the anatomy is clearly indicated.
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