Dr. Smith's ECG Blog

JUNE 19, 2024

Case An 82 year old man with a history of hypertension presented to the ED with chest pain at 1211. He described his chest pain as pleuritic and reported that it started the day prior while swinging a golf club. Another blood pressure was checked. This is typical of pericarditis. In lead I, about 1.5

Chest Pain 60

Chest Pain Pericarditis Pacemaker STEMI 60

Dr. Sanjay Gupta

DECEMBER 19, 2022

Pericarditis refers to inflammation of the pericardium The pericardium is a sac within which the heart sits. Acute inflammation of this sac is known as acute pericarditis. About 5% of patients who present to A+E with chest pain which is not deemed to be a heart attack or angina are ultimately diagnosed with pericarditis.

Pericarditis 40

Pericarditis Heart Attack Heart attacks Chest Pain 40

All About Cardiovascular System and Disorders

APRIL 25, 2024

An unfilled heart is not able to pump out blood well and the blood pressure falls. There are other tests also for tuberculous pericarditis, but they not as sure as growing the bacterium in culture. Inflammation of pericardium as inflammation elsewhere can be painful and cause chest pain.

Pericarditis 40

Pericarditis Cancer Blood Pressure Heart Valves 40

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? The second most common cause of medical cardiac tamponade is acute idiopathic pericarditis. She was noted to be tachycardic and her heart sounds were distant on physical exam.

Tachycardia 40

Tachycardia Pericarditis Ultrasound Blood Pressure 40

Dr. Smith's ECG Blog

DECEMBER 11, 2023

A woman in her late 70s presented with left arm pain. The arm pain started the day prior when she was at the dentist's office for a root canal. Her systolic blood pressure at the dentist was over 200 mm Hg. She was given nitroglycerin which improved her blood pressure, and she completed the procedure.

Myocardial Infarction 123

Myocardial Infarction Chest Pain STEMI Blood Pressure 123

Dr. Smith's ECG Blog

MAY 23, 2022

Patient 2 : 55 year old with 5 hours of chest pain radiating to the shoulder, with nausea and shortness of breath ECG: sinus bradycardia, normal conduction, normal axis, normal R wave progression, no hypertrophy. This was missed by the treating physician, but the chest pain resolved with aspirin.

Chest Pain 52

Chest Pain Pericarditis STEMI Arrhythmia 52