Remove Arrhythmia Remove Chest Pain Remove Electrocardiogram
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A man in his 70s with chest pain during a bike ride

Dr. Smith's ECG Blog

Case written and submitted by Ryan Barnicle MD, with edits by Pendell Meyers While vacationing on one of the islands off the northeast coast, a healthy 70ish year old male presented to the island health center for an evaluation of chest pain. The chest pain started about one hour prior to arrival while bike riding.

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A 50-something with chest pain. what to do? And get the PM Cardio app for your own use here!

Dr. Smith's ECG Blog

It is from a 50-something with chest pain: What do you think? In my opinion — AI is not yet "there" with regard to interpretation of complex cardiac arrhythmias. I like to start my ECG assessment in patients with new chest pain by looking for at least 1 or 2 leads that I know are definitely abnormal.

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Case Report: Multimodality evaluation and clinical management of a single coronary artery

Frontiers in Cardiovascular Medicine

Electrocardiogram in clinic showed sinus arrhythmia with early repolarization and no ischemic changes. Treadmill exercise stress test showed excellent functional capacity without exercise-induced chest pain or ischemic ECG changes. Invasive coronary angiography ruled out luminal narrowing or dynamic compression.

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Precordial ST depression. What is the diagnosis?

Dr. Smith's ECG Blog

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
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Rise of COVID's JN.1 Sub variant Cases in India in 2023

Wellnest

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.

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See how bad the outcome can be if you don't know OMI findings on the ECG, and don't use the Queen of Hearts

Dr. Smith's ECG Blog

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 112
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Atrial fibrillation? Multifocal Atrial Tachycardia? Don't look at computer read until AFTER you interpret!

Dr. Smith's ECG Blog

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.