The British Journal of Cardiology

MARCH 4, 2025

Coronary artery spasm (CAS), or Prinzmetal angina, is a recognised cause of myocardial ischaemia in non-obstructed coronary arteries which typically presents with anginal chest pain. The patient presented with recurrent palpitations and pre-syncope, with no chest pain.

Chest Pain 73

Chest Pain Tachycardia Angina Arrhythmia 73

Dr. Smith's ECG Blog

AUGUST 9, 2024

Written by Colin Jenkins and Nhu-Nguyen Le with edits by Willy Frick and by Smith A 46-year-old male presented to the emergency department with 2 days of heavy substernal chest pain and nausea. The patient continued having chest pain. There are three mechanisms of arrhythmia: automatic, re-entry, and triggered.

Chest Pain 108

Chest Pain Arrhythmia Myocardial Infarction STEMI 108

MIBHS

JULY 31, 2024

Arrhythmias (Abnormal Heart Rhythms) Stress hormones can disrupt the signals that regulate your heartbeat, leading to arrhythmias – abnormal heart rhythms that cause your heart to beat too fast, too slow, or irregularly.

Blood Pressure 52

Blood Pressure Heart Attack Heart attacks Heart Rhythm 52

Dr. Smith's ECG Blog

JANUARY 5, 2024

They also documented "Reproducible chest tenderness." Remember, reproducible chest tenderness should not reassure you in patients with high pre-test probability of OMI. Thus, the patient does not (yet) get a formal diagnosis of MI and must be called unstable angina unless further troponins return above the 99th percentile.

Angina 122

Angina Plaque Document Stent 122

Open Heart

AUGUST 25, 2024

Background On the one hand, the primary coronary slow flow phenomenon (CSFP) can cause recurrence of chest pain, prompting medical examinations and further healthcare costs, while on the other hand, it can lead to myocardial infarction, ventricular arrhythmia and sudden cardiac death.

Sudden Cardiac Death 40

Sudden Cardiac Death Angina Chest Pain Myocardial Infarction 40

Dr. Smith's ECG Blog

OCTOBER 24, 2018

Therefore this is " Transient ST Elevation Unstable Angina." As there was ruptured plaque, this is NOT Prinzmetal's angina. Here are many other cases of Unstable Angina , in spite of Eugene Braunwald's Requiem for Unstable Angina. So Unstable Angina still exists [even with high sensitivity (hs) troponins].

STEMI 40

STEMI Angina Myocardial Infarction Plaque 40

Dr. Smith's ECG Blog

JANUARY 1, 2013

A middle aged male with no h/o CAD presented with one week of crescendo exertional angina, and had chest pain at the time of the first ECG: Here is the patient's previous ECG: Here is the patient's presenting ED ECG: There is isolated ST depression in precordial leads, deeper in V2 - V4 than in V5 or V6. BP was 160/100.

STEMI 52

STEMI Ischemia Chest Pain Myocardial Infarction 52