Arrhythmia Chest Pain Outpatient 
Dr. Smith's ECG Blog
SEPTEMBER 29, 2023
Sent by anonymous, written by Pendell Meyers, reviewed by Smith and Grauer A man in his 40s presented to the ED with HTN, DM, and smoking history for evaluation of acute chest pain. He was eating lunch when he had sudden onset chest pressure, 9/10, radiating to his back, with sweating and numbness in both hands. was discovered.
Dr. Smith's ECG Blog
FEBRUARY 6, 2024
Hopefully a repeat echocardiogram will be performed outpatient. ECG of pneumopericardium and probable myocardial contusion shows typical pericarditis Male in 30's, 2 days after Motor Vehicle Collsion, complains of Chest Pain and Dyspnea Head On Motor Vehicle Collision. 1900: RBBB and LAFB are almost fully resolved.
Dr. Smith's ECG Blog
JULY 11, 2024
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. An echocardiogram showed an EF of 20-25%.
Dr. Smith's ECG Blog
MARCH 24, 2023
Written by Jesse McLaren, with comments from Smith An 85 year old with a history of CAD presented with 3 hours of chest pain that feels like heartburn but that radiates to the left arm. See this other post: Chest pain, a ‘normal ECG’ a ‘normal trop’, and low HEART and EDACS score: discharge home? Below is the ECG.
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. It is relevant to note here that as a physician active clinically in both the inpatient and outpatient arenas, I am an eyewitness to the severe toll COVID19 took on my patients in the Spring or 2020.
Dr. Smith's ECG Blog
JANUARY 9, 2025
A 26 year old male presented with syncope and chest pain. No signs of OMI" The chest pain resolved after some time, and another ECG was recorded: The ST Elevation is nearly gone. Syncope was sudden and without prodrome, and resulted in head trauma with a scalp laceration. Smith : I recognize this as a STEMI mimic.
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