Blog Chest Pain Pediatrics 
Dr. Smith's ECG Blog
DECEMBER 10, 2019
This is a previously healthy male teenager who was awoken by chest pain. The pain is described as located in the midsternal area, radiating to the right arm, described as 8-9/10 and worse with deep inspirations. In the evening, he became diaphoretic and complained of 9/10 continuous chest pain.
Dr. Smith's ECG Blog
JUNE 14, 2017
There was apparently no syncope and he had no bony injuries, but he did complain of left sided chest pain. His chest was tender. A bedside cardiac ultrasound was normal. An ECG was recorded: Avinash was understandably confused by this ECG. He wrote: "ECG 1 - shows wide ???IVCD IVCD type rhythm ??
Dr. Smith's ECG Blog
JULY 22, 2023
He denied chest pain or shortness of breath. In the clinical context of weakness and fever, without chest pain or shortness of breath, the likelihood of Brugada pattern is obviously much higher. Pediatric and elderly patients were more predisposed to developing an arrhythmic event in the setting of fever [7].
Dr. Smith's ECG Blog
JANUARY 23, 2024
There was no chest pain. Learning points: == MY Comment , by K EN G RAUER, MD ( 1/15 /2024 ): == Today's case by Dr. Nossen differs from other cases of AV block we have published over the years in Dr. Smith's ECG Blog — in that the cause of AV block turned out to be CS ( C ardiac S arcoidosis ). She had no known heart condition.
Dr. Smith's ECG Blog
NOVEMBER 24, 2017
I've been working on this a long time, thought about submitting it to a journal, but decided it gets more readers on this blog. Instead, in this blog post we will compare the rule-of-thumb to each of the four formulas, effectively substituting usual care for the unattainable gold-standard of outcomes.
Dr. Smith's ECG Blog
JANUARY 30, 2019
It was from a patient with chest pain: Note the obvious Brugada pattern. Pediatric and elderly patients were more predisposed to developing an arrhythmic event in the setting of fever [7]. The elevated troponin was attributed to either type 2 MI or to non-MI acute myocardial injury. There is no further workup at this time.
Dr. Smith's ECG Blog
FEBRUARY 12, 2025
I suspect most blog readers did not struggle with this one. She did not even need to ask in this case, because even if the patient presented with chest pain, she would call it NEGATIVE. Toward this end we've conveniently added a LINK for "LVH Criteria" in the Menu at the top of every page in Dr. Smith's ECG Blog.
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