Dr. Smith's ECG Blog

SEPTEMBER 11, 2018

I activated the cath lab and brought her to the critical care area. I went back to screening patients and time flew by and I forgot to get the 15 minute follow up ECG, but then remembered and did get one at about 45 minutes: Computer interpretation: "Normal ECG" Veritas algorithm again What do you think?

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Chest Pain Critical Care Stents Stent 52

Dr. Smith's ECG Blog

MARCH 6, 2023

If you saw this ECG only knowing that it is an acute chest pain patient, what would be your interpretation? There was high suspicion of OMI, so patient was brought to critical care area and another ECG was recorded just 7 minutes later as the pain had diminished to 4/10. Suspicious but not diagnostic.

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Chest Pain STEMI Stenosis Blog 52

Dr. Smith's ECG Blog

SEPTEMBER 1, 2023

A 50-something male had onset of chest pain 1 hour prior to ED arrival. Endorses some associated SOB, but denies back pain, fever, cough, chills, leg swelling, or other new symptoms. The patient was moved to the critical care area (stabilization room). Always get serial ECGs in a patient with acute chest pain.

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Chest Pain STEMI Stenosis Myocardial Infarction 127

Dr. Smith's ECG Blog

JULY 16, 2022

This middle aged male with h/o GERD but also h/o stents presented to the ED with chest pain. The initial troponin I returned at 1500 ng/L and another ECG was recorded as the patient complained of 9/10 chest pain at 10 hours after the first Now the T-wave in III is fully upright, suggesting re-occlusion.

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Chest Pain Bradycardia Blog Critical Care 52

Dr. Smith's ECG Blog

DECEMBER 23, 2022

The patient was otherwise healthy, had no past history, and had never had chest discomfort before. I immediately activated the critical care team and walked the patient to the critical care area, our "Stabilization Room." There are relatively large T-waves in V4-V6. Let's record another one."

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Chest Pain Critical Care STEMI Plaque 52

DAIC

MARCH 7, 2024

The recent change in guidelines from the ACC and AHA are now clear that cardiac CT is the Level 1A evidence recommended test for diagnosis of stable and acute chest pain,” said Chaim Lotan, MD, professor at Hadassah-Hebrew University, in a written statement from Arineta. Workflow improvements.

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Technology Document Cardiovascular Imaging Cancer 111

Dr. Smith's ECG Blog

OCTOBER 26, 2010

This 54 year old patient with a history of kidney transplant with poor transplant function had been vomiting all day when at 10 PM he developed severe substernal crushing chest pain. He presented to the Emergency Department with a blood pressure of 111/66 and a pulse of 117. He had this ECG recorded.

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STEMI Cardiogenic Shock Tachycardia Aneurysm 52

Dr. Smith's ECG Blog

MAY 5, 2022

He denied any chest pain or shortness of breath and stated he felt at his baseline yesterday prior to drug use. They recommended repeating his ECG and awaiting troponin since the patient did not have any chest pain. He complained of generalized weakness and left lower extremity numbness. What is it?

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Chest Pain Bradycardia Cardiac Arrest STEMI 52

Dr. Smith's ECG Blog

OCTOBER 6, 2018

We knew only that the ECG belonged to a man in his 50s with chest pain and normal vitals. We brought the patient into one of our critical care rooms and immediately got more history while recording this repeat ECG: The STE in I has greatly diminished or entirely disappeared. No prior available.

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Chest Pain STEMI Myocardial Infarction Coronary Artery Disease 52

Dr. Smith's ECG Blog

FEBRUARY 12, 2023

There was no chest pain. Later, I was working in the ED and a patient was moved from a regular room to the critical care area due to recurrent hypotension. The patient was now under my care. But today's patient had no chest pain. In reviewing the case, I saw the ECG and recognized it as the same one.

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Pulmonary Chest Pain Hypertension Tricuspid 52

Dr. Smith's ECG Blog

NOVEMBER 8, 2022

The patient had come to the ED for SOB, but without any chest pain. He was moved to the critical care area due to his EKG. Other cases of Pulse Tapping Artifact: Acute chest pain and a bizarre ECG Bizarre (Hyperacute??) Solution : repeat the ECG, but move the left leg electrode. His potassium returned at 1.3

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Article Chest Pain Blog Myocardial Infarction 52

Dr. Smith's ECG Blog

AUGUST 13, 2020

Instead, he complained of left chest "itchiness". He was brought to the critical care area where these rhythms were seen on the monitor: Wide complex tachycardia with no apparent P-waves, and very irregular Consistent with atrial fibrillation with aberrancy A Regular wide complex tachycardia. LV Aneurysm?

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Tachycardia AFIB Cardiogenic Shock Myocardial Infarction 52

Dr. Smith's ECG Blog

JUNE 2, 2023

She denied chest pain and denied feeling any palpitations, even during her triage ECG: What do you think? Despite otherwise normal vital signs, she was appropriately triaged to the critical care area of the ED.

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Tachycardia Cardiomyopathy Electrocardiogram Article 77