Atrial Fibrillation Chest Pain Pacemaker 
Dr. Smith's ECG Blog
MARCH 19, 2024
The patient presented to an outside hospital An 80yo female per triage “patient presents with chest pain, also hurts to breathe” PMH: CAD, s/p stent placement, CHF, atrial fibrillation, pacemaker (placed 1 month earlier), LBBB. HPI: Abrupt onset of substernal chest pain associated with nausea/vomiting 30 min PTA.
Dr. Smith's ECG Blog
MAY 21, 2023
Here is the first ED ECG: COMPUTER INTERPRETATION: Electronic Atrial Pacemaker. Whenever a patient does not have chest pain, the pre-test probability of OMI is diminished. Of course SOB, jaw pain, shoulder pain, etc can be a result of OMI, but the pretest probability is less and so you must scrutinize further.
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
MARCH 15, 2023
Her Apple Watch suddenly told her that she is in atrial fibrillation. She did notice something slightly wrong subjectively, but had no palpitations, chest pain, or SOB, or any other symptom. Facilitating Transthoracic Cardioversion of Atrial Fibrillation with Ibutilide Pretreatment. So it is safe.
Wellnest
DECEMBER 21, 2022
If you experience any symptoms, such as chest pain, dizziness, unusual tiredness or fatigue, shortness of breath, or irregular heartbeat, your doctor would want you to go for an ECG test to find out the underlying cause. Atrial Fibrillation Atrial fibrillation causes irregular heartbeat, and the heart's normal blood supply is affected.
Dr. Smith's ECG Blog
OCTOBER 3, 2018
Case An elderly patient had acute chest pain and 911 was called. The medics recorded the following initial ECG at time 0: The computer read (see below) gives no further comment beyond ventricular pacemaker. underlying atrial fibrillation or atrial inactivity). What do you think?
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. It is not atrial fibrillation. The rhythm is indeed irregularly irregular, so atrial fibrillation must be considered. Multifocal Atrial Tachycardia 2. Here is the ECG: What do you think? Sinus with multifocal PACs 3.
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