Dr. Smith's ECG Blog

FEBRUARY 8, 2015

There was a good outcome. We believe this represents a form of “toxicomythology” given the millions of doses of beta -blockers administered in the past to patients with hyperadrenergic states, and a paucity of evidence of adverse outcomes (12). This would treat both SVT or sinus tachycardia. Later, he was found to have used cocaine.

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Tachycardia Chest Pain Pharmacology Myocardial Infarction 52

Dr. Smith's ECG Blog

MARCH 9, 2013

This male in his 40's had been having intermittent chest pain for one week. He awoke from sleep with crushing central chest pain and called ems. EMS recorded a 12-lead, then gave 2 sublingual nitros with complete relief of pain. Type B waves are deeper and symmetric. Wellen's syndrome is a Reperfusion syndrome.

Chest Pain 52

Chest Pain Myocardial Infarction Ischemia Angina 52

DAIC

FEBRUARY 29, 2024

This year’s theme, “Advancing Cardiovascular Care for All” brings the latest practice-changing breakthroughs, along with top experts debating and discussing outcomes of highly-anticipated clinical trials. 24 from April 6 - 8, 2024 in Atlanta, GA at the Georgia World Congress Center.

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103

Dr. Smith's ECG Blog

OCTOBER 26, 2011

This 42 yo diabetic male presented with cough and foot pain. In spite of aggressive questioning, he denied chest pain, but he did tell one triage nurse that he had had some chest burning, and so he underwent an ECG: There are deep Q-waves and QS-waves in precordial leads V2-V3, with a bit of R-wave left in V4.

STEMI 52

STEMI Chest Pain Myocardial Infarction Angioplasty 52

Dr. Smith's ECG Blog

JUNE 18, 2013

This was my thought: if this patient presented to the ED with chest pain, then this is an LAD occlusion. These patients have worse outcomes: higher mortality, more CHF, higher biomarkers, and worse ejection fractions than the NonSTEMI patients with open arteries. This patient had continued and ongoing pain. Marti D et al.

STEMI 52

STEMI Chest Pain Myocardial Infarction Webinar 52

Dr. Smith's ECG Blog

APRIL 17, 2023

Full case details and outcomes are below. The Queen of Hearts correctly says: Smith : Why is this ECG which manifests so much ST Elevation NOT a STEMI (even if it were a 60 year old with chest pain)? Repeat 0157 with ongoing chest pain: Basically the same features diagnostic of LAD occlusion. Physician: "No STEMI."

Chest Pain 52

Chest Pain STEMI Document Ischemia 52

Dr. Smith's ECG Blog

APRIL 2, 2014

A male in his 60's called 911 for chest pain. His pain was intermittent and he was vague about when it was present and when it was resolved. Outcome : Was it RCA or LCX with inferior MI? The RCA was opened with POBA ("plain old balloon angioplasty") and eptifibatide was started.

STEMI 52

STEMI Ischemia Chest Pain Angioplasty 52

MIBHS

MARCH 31, 2025

Signs include: Sudden loss of consciousness No pulse or breathing Collapse without prior chest pain or discomfort If someone experiences sudden cardiac arrest, it is crucial to begin CPR immediately and call the local emergency number. Without prompt treatment, parts of the heart muscle may become damaged or die.

Cardiac Arrest 52

Cardiac Arrest Heart attacks Heart Attack Chest Pain 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2014

A male in late middle age with a history of RCA stent 8 years prior complained of chest pain. It is highly associated with proximal LAD occlusion and bad outcomes. EMS recorded the following ECG: What do you see? I have annotated it here: The lines mark the end of the QRS and beginning of the ST segment.

Chest Pain 52

Chest Pain Cardiac Arrest Myocardial Infarction Angioplasty 52

Dr. Anish Koka

MAY 16, 2023

Soviet biologist Trofim Lysenko famously rejected the objective reality of Mendelian genetics because it clashed with the Marxist philosophy that the environment, not genetics, was the primary determinant of outcomes. Atypical angina is classified as having any two of the three symptoms, and non-anginal pain any one of the three symptoms.

Chest Pain 52

Chest Pain Coronary Artery Disease Cancer Heart attacks 52

MIBHS

SEPTEMBER 15, 2024

While men often report crushing chest pain as the most prominent symptom, women might experience subtler symptoms like shortness of breath, nausea, or back pain. Women might describe it as a tightness, pressure, or squeezing sensation rather than a sharp pain.

Blood Pressure 52

Blood Pressure Heart Disease Chest Pain Coronary Artery Bypass Graft 52

AMS Cardiology

OCTOBER 11, 2024

However, seeking immediate medical help is crucial if you experience chest pain, shortness of breath or dizziness. Early intervention can significantly improve outcomes and reduce the risk of complications. Procedures such as angioplasty, stenting and bypass surgery can restore blood flow to the heart and improve function.

Heart Disease 52

Heart Disease Heart attacks Heart Attack Diet 52

Dr. Smith's ECG Blog

AUGUST 9, 2019

His comments/questions are inserted below the ECG: A 50-something woman presented with 3 days of intermittent chest pain that became worse on the day of presentation, with diaphoresis and radiation to the left arm, as well as abdominal pain. This is her ECG: An obvious STEMI, but which artery? Widimsky P et al.

Myocardial Infarction 52

Myocardial Infarction Ischemia STEMI Cardiogenic Shock 52

Wellnest

JULY 19, 2023

When a person experiences a heart attack or myocardial infarction, they may feel chest pain and other symptoms in different parts of their body. It is imperative to act swiftly when faced with such a medical emergency to ensure the best possible outcome. So, how do you recognize a heart attack?

Heart attacks 52

Heart attacks Heart Attack Blood Pressure Myocardial Infarction 52