Remove Biomarkers Remove Chest Pain Remove Heart attacks
article thumbnail

46 year old with chest pain develops a wide complex rhythm -- see many examples

Dr. Smith's ECG Blog

Written by Colin Jenkins and Nhu-Nguyen Le with edits by Willy Frick and by Smith A 46-year-old male presented to the emergency department with 2 days of heavy substernal chest pain and nausea. He reported a history of “Wolf-Parkinson-White” and “heart attack” but said neither had been treated. Is there STEMI?

article thumbnail

Rise of the Lysenkoist Cardiologists

Dr. Anish Koka

This means that at every age, the probability a man complaining of chest pain has significant underlying coronary disease as a cause of this chest pain is much higher than a woman complaining of chest pain. Thanks for reading Dr. The data is overwhelming every way you can possibly look at it.

article thumbnail

The MI Overdiagnosis Problem

CardiacWire

One study revealed that a quarter of all ED visitors underwent a troponin test, even though less than half of them had chest pain. Another study showed that roughly one in seven ED patients had elevated troponin, even though they weren’t experiencing an MI, in part because troponin can be a sign of other non-coronary diseases.

article thumbnail

COVID-19 myocarditis illusions

Dr. Anish Koka

Cardiac Cath labs waiting for some major influx of COVID heart damage not only didn’t see patients presenting with COVID heart attacks, but they idled as patients terrified of coming to the hospital stayed home rather than come to the hospital with chest pain.

article thumbnail

Circumflex Occlusion May be Subtle or Invisible on the ECG

Dr. Smith's ECG Blog

male presents because he "thought he might be having a heart attack." Pain worsened and became sharper after lifting a bookcase up the stairs. He continued to have worsening pain and diaphoresis, and associated left arm pain down to the fingers. The pain is very nitroglycerine responsive.