Remove Aneurysm Remove Blood Pressure Remove Chest Pain
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How High Blood Pressure Affects Your Heart and What You Can Do About It

MIBHS

High blood pressure, also known as hypertension, is a common condition that affects millions of people worldwide. Understanding how high blood pressure impacts your heart and learning to manage it can significantly reduce your risk of heart disease and improve your overall health. What Is High Blood Pressure?

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Texted from a former EM resident: 70 yo with syncope and hypotension, but no chest pain. Make their eyes roll!

Dr. Smith's ECG Blog

No Chest Pain, but somnolent. There are QS-waves in V1-V3 suggesting old anterior MI with persistent ST Elevation (LV aneurysm morphology), but I have written a couple papers showing that in LV aneurysm, the T-wave is not > 0.36 But the T-waves in LV aneurysm are not this big. LV Aneurysm vs New Infarction?

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A rare case of atrial flutter and a cystic mass in the left atrium

Heart BMJ

The patient reported no chest pain or shortness of breath. °C and a normal blood pressure of 123/83 mm Hg. Cystic formation of the foramen ovale Aortic sinus aneurysm Left. Clinical introduction A woman is her 60s with no medical history presented to the hospital with palpitations and occasional nausea.

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Pulmonary Edema, Hypertension, and ST Elevation 2 Days After Stenting for Inferior STEMI

Dr. Smith's ECG Blog

He had no chest pain. The computer read is: **Acute MI ** The protocol for prehospital activation in the EMS system that this patient presented to requires 2 elements: 1) Chest pain 2) A computer read of **Acute MI ** Only 1 of 2 was present, so there was no prehospital activation. The patient was transported to the ED.

STEMI 52
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Tachycardia must make you doubt an ACS or STEMI diagnosis; put it all in clinical context

Dr. Smith's ECG Blog

This 54 year old patient with a history of kidney transplant with poor transplant function had been vomiting all day when at 10 PM he developed severe substernal crushing chest pain. He presented to the Emergency Department with a blood pressure of 111/66 and a pulse of 117. He had this ECG recorded.

STEMI 52
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A fascinating electrophysiology case. What is this wide complex tachycardia, and how best to manage it?

Dr. Smith's ECG Blog

These are all findings that can be expected with left ventricular aneurysm. Therefore — Just because a patient remains awake and alert with an adequate blood pressure for an extended period of time does not rule out the possibility sustained VT. There are QS-waves in V1-V4 with a fragmentation/notch in the last part of the QRS.

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Chest discomfort, Sinus Tachycardia, Q-waves, ST Elevation, and Intermittent Wide Complex Tachycardia. Activate the Cath Lab?

Dr. Smith's ECG Blog

Still Irregular Blood pressure during these rhythms was adequate; there was no shock. Old MI with persistent ST Elevation (LV aneurysm morphology) can look like acute MI 2. Not all anterior LV aneurysm has a QS-wave. LV Aneurysm? 9 Hours of Chest Pain and Deep Q-waves: Is it too late for Thrombolytics?