BoardVitals - Cardiovascular

FEBRUARY 10, 2020

Cardiology Board Review Question A 48-year-old female with no known medical history presents with acute substernal chest pain. D) An electrocardiogram is most commonly normal in these patients. Patients typically present with acute chest pain, shortness of breath, or syncope. What is Takotsubo Cardiomyopathy?

Cardiomyopathy 52

Cardiomyopathy Chest Pain Heart Attack Heart attacks 52

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. There is no ST elevation.

STEMI 52

STEMI Ischemia Chest Pain Myocardial Infarction 52

Dr. Smith's ECG Blog

JUNE 2, 2023

She denied chest pain and denied feeling any palpitations, even during her triage ECG: What do you think? Free full text: [link] There are 6 categories of criteria : 1) Imaging 2) Pathologic 3) ECG Repolarization 4) ECG Depolarization 5) Arrhythmias 6) Family History. J Electrocardiol, 42 (2009), pp.

Tachycardia 96

Tachycardia Cardiomyopathy Electrocardiogram Article 96

Wellnest

DECEMBER 31, 2023

Yes, COVID-19 symptoms can resemble a heart attack, including chest pain, shortness of breath, and changes in echocardiogram or EKG. Electrocardiograms (EKG or ECG): This diagnostic method effectively detects irregular heartbeats or arrhythmias by analyzing the electrical signals in the heart.

COVID-19 52

COVID-19 Heart Attack Heart attacks Exercise 52

Dr. Smith's ECG Blog

JULY 11, 2024

The attending provider wrote “Agree with electrocardiogram interpretation”. No patient with chest pain should be sent home without troponin testing. At this point, there was no improvement in LV function and he was out of the convalescent phase of his MI, so the decision was made to install an ICD for arrhythmia prophylaxis.

Outcomes 113

Outcomes Stenosis Outpatient Echocardiogram 113

BoardVitals - Cardiovascular

MAY 1, 2017

He has never had any chest pain. Explanation: Shown electrocardiogram suggests left ventricular hypertrophy. Shown electrocardiogram suggests left ventricular hypertrophy. He has no known prior medical history and does not take any medications. He complains of occasional shortness of breath on walking more than 2 blocks.

Cardiomyopathy 52

Cardiomyopathy Sudden Cardiac Death Bicuspid/Mitral Electrocardiogram 52

Dr. Smith's ECG Blog

JANUARY 5, 2020

This 60-something with h/o COPD and HFrEF (EF 25%) presented with SOB and chest pain. A deep neural network for 12-lead electrocardiogram interpretation outperforms a conventional algorithm, and its physician over-read, in the diagnosis of atrial fibrillation. How can you avoid overlooking this arrhythmia? Poon et al.

Atrial Fibrillation 52

Atrial Fibrillation Tachycardia Arrhythmia Pulmonary 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

The best course is to wait until the anatomy is defined by angio, then if proceeding to PCI, add Cangrelor (an IV P2Y12 inhibitor) I sent the ECG and clinical information of a 90-year old with chest pain to Dr. McLaren. All electrocardiograms (ECGs) and coronary angiograms were blindly analyzed by experienced cardiologists.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

JANUARY 30, 2019

It was from a patient with chest pain: Note the obvious Brugada pattern. Prior to Mizusawa's study, it was thought that the incidence of syncope, arrhythmia, or SCD in this cohort was low [7]. Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. There is no further workup at this time.

Heart Rhythm 52

Heart Rhythm Sudden Cardiac Death Arrhythmia STEMI 52

Dr. Smith's ECG Blog

APRIL 8, 2015

Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). The most recent and probably best study is this: Canadian Syncope Arrhythmia Risk Score.

Arrhythmia 52

Arrhythmia Outcomes Chest Pain Risk Factors 52

Dr. Anish Koka

FEBRUARY 20, 2023

He was concerned because he had chest pain after his first mRNA vaccine and was uncomfortable with the risks of a second mRNA dose. He subsequently describes having sharp chest pain over the next few weeks. The pain resolved a few weeks later. He emphatically denies any history of cardiopulmonary disease.

COVID-19 52

COVID-19 Pericarditis Chest Pain Public Health 52

Dr. Smith's ECG Blog

DECEMBER 5, 2019

The patient denied any chest pain whatsoever, and a troponin at zero and 2 hours were both undetectable. Fever not only unmasks a Brugada-type electrocardiogram (ECG) but also increases the risk of ventricular tachyarrhythmias such as ventricular fibrillation (VF) or sudden cardiac death.

Sudden Cardiac Death 52

Sudden Cardiac Death Heart Rhythm Article Tachycardia 52