Bicuspid/Mitral Chest Pain Ultrasound 
Dr. Smith's ECG Blog
APRIL 26, 2017
There was no chest pain or SOB at the tim of the ECG: Computerized QTc is 464 ms A previous ECG from 8 years prior was normal. My opinion was that it was not a cath lab case, but I did suggest they do a bedside ultrasound to look for an anterior wall motion abnormality. I had not seen the cardiac ultrasounds at this time.
Dr. Smith's ECG Blog
SEPTEMBER 20, 2011
He did not state he had chest pain, but, then again, he couldn't remember anything. We did a bedside cardiac ultrasound. The structure at the bottom that is moving is the mitral valve, with anterior and posterior leaflets. This 80 year old with a history of CABG had a cardiac arrest. 3 points gets you an MI by Sgarbossa.
Dr. Smith's ECG Blog
APRIL 12, 2013
He had no chest pain. The computer read is: **Acute MI ** The protocol for prehospital activation in the EMS system that this patient presented to requires 2 elements: 1) Chest pain 2) A computer read of **Acute MI ** Only 1 of 2 was present, so there was no prehospital activation. The patient was transported to the ED.
Dr. Smith's ECG Blog
OCTOBER 23, 2022
To, me these look like anterior wall motion abnormality, but I showed them to one of our ultrasound fellows who is very interested in this. If it were me, I would get values at the level of the mitral valve, papillary muscles, and apex (all in PSS axis). Echo may be normal ( especially if the patient no longer has chest pain ).
Dr. Smith's ECG Blog
NOVEMBER 28, 2022
Given her reported chest pain, shortness of breath, and syncope, an ECG was quickly obtained: What do you think? A bedside cardiac ultrasound was performed with a parasternal long axis view demonstrated below: There is a large pericardial effusion with collapse of the right ventricle during systole. She has already had syncope.
Dr. Smith's ECG Blog
MARCH 6, 2020
This middle-aged man with no cardiac history but with significant history of methamphetamin and alcohol use presented with chest pain and SOB, worsening over days, with orthopnea. A bedside POC cardiac ultrasound was done: Findings: Decreased left ventricular systolic function. Mild to moderate mitral regurgitation.
Dr. Smith's ECG Blog
MARCH 3, 2025
A 69 year old woman with a history of hypertension presented to the emergency department by EMS for evaluation of chest pain and shortness of breath. She awoke in the morning with sharp chest pain which worsened throughout the morning. As her pain worsened, so did her dyspnea. This was written by Hans Helseth.
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