Aneurysm Chest Pain Exercise 
MIBHS
FEBRUARY 15, 2025
Increased Risk of Aneurysms : Chronic high blood pressure can weaken the walls of your arteries, leading to bulging areas known as aneurysms. If an aneurysm ruptures, it can cause life-threatening internal bleeding. This condition reduces blood flow to the heart, increasing the risk of angina (chest pain) and heart attacks.
Heart BMJ
APRIL 15, 2024
Clinical introduction A man in his 40s with a history of hyperlipidaemia presented with intermittent, dull left-sided chest pain for 2 weeks that was not consistently exertional. Physical examination, an ECG, basic laboratories and a chest X-ray were unremarkable. He did not smoke or use alcohol or illicit drugs.
Dr. Smith's ECG Blog
JULY 3, 2018
Submitted and written by Alex Bracey with edits by Pendell Meyers and Steve Smith Case A 50ish year old man with a history of CAD w/ prior LAD MI s/p LAD stenting presented to the ED with chest pain similar to his prior MI, but worse. The pain initially started the day prior to presentation. LAD occlusion. Great case.
Dr. Smith's ECG Blog
OCTOBER 6, 2023
This is one case where it made a difference: Right Ventricular MI seen on ECG helps Angiographer to find Culprit Lesion Nevertheless, it is sometimes a fun academic exercise to try to predict the infarct artery: An elderly patient had onset of chest pain one hour prior. See more such cases of RBBB with LV aneurysm here.
Dr. Smith's ECG Blog
JULY 11, 2024
No patient with chest pain should be sent home without troponin testing. On this visit, he expressed worsening exercise tolerance, new orthopnea, and he told his provider that the omeprazole did not relieve any symptoms. The LV aneurysm morphology persists. His BP was now 82/68, and his HR was 112.
Dr. Smith's ECG Blog
JANUARY 9, 2023
Sent by anonymous, written by Pendell Meyers A male in his teens presented with complaints of chest discomfort and dyspnea beginning while exercising but without obvious injury. He immediately stopped exercising and symptoms started to improve. He denied headache or neck pain associated with exertion. Pericarditis?
DAIC
SEPTEMBER 4, 2024
This can lead to complications such as blocked, reduced, or backward blood flow through the heart chambers, causing shortness of breath, chest pain, fainting, and difficulty exercising. In more severe cases, the disease can lead to an aortic dissection, or tear in the aorta, a life-threatening condition.
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