MIBHS

FEBRUARY 15, 2025

High blood pressure, also known as hypertension, is a common condition that affects millions of people worldwide. Often referred to as the silent killer, hypertension can quietly damage your heart and other vital organs over time. Hypertension is diagnosed when blood pressure consistently reads 130/80 mm Hg or higher.

Blood Pressure 52

Blood Pressure Hypertension Chest Pain ACE Inhibitor 52

Dr. Smith's ECG Blog

JANUARY 31, 2024

A 60-something male presented stating that he had had chest pain that morning which awoke him from sleep but then resolved after several minutes. He has had similar pain in the past which he attributed to acid reflux. He has a history of untreated hypertension. He is pain free now. His systolic BP was 200.

Chest Pain 108

Chest Pain Aneurysm Myocardial Infarction Hypertension 108

Dr. Smith's ECG Blog

JANUARY 27, 2024

Written by Jesse McLaren, comments by Smith A 55 year old with a history of NSTEMI presented with two hours of exertional chest pain, with normal vitals. Smith : Old inferior MI with persistent ST Elevation ("inferior aneurysm") has well-formed Q-waves. What do you think?

Chest Pain 116

Chest Pain STEMI Aneurysm Stents 116

Dr. Smith's ECG Blog

OCTOBER 17, 2024

Written by Jesse McLaren Two patients in their 70s presented to the ED with chest pain and RBBB. Patient 1 : a 75 year old called paramedics with one day of left shoulder pain which migrated to the central chest, which was worse with deep breaths. Past medical history included diabetes and hypertension.

Chest Pain 72

Chest Pain STEMI Pulmonary Embolism 72

Dr. Smith's ECG Blog

NOVEMBER 26, 2015

52-year-old lady presents to the Emergency Department with 2 hours of chest pain, palpitations & SOB. She is somewhat hypertensive, but her vital signs are otherwise normal. However, old MI w/aneurysm morphology (persistent ST-Elevation) can look just like this. Notice also that no lead has 1 mm of ST elevation.

Chest Pain 52

Chest Pain Aneurysm STEMI Document 52

Dr. Smith's ECG Blog

APRIL 12, 2013

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

STEMI Pulmonary Stents Stent 52

Heart BMJ

AUGUST 14, 2024

Clinical introduction The patient was a man in his 40s with a medical history of hypertension, Behcet’s disease (BD) and chronic renal dysfunction. He was admitted to our hospital with issues of chest pain, shortness of breath and heart palpitations without any obvious inducement.

Aneurysm 52

Aneurysm Chest Pain Myocardial Infarction Thrombosis 52