Chest Pain Critical Care Ischemia 
Dr. Smith's ECG Blog
NOVEMBER 1, 2022
This EKG was recorded as part of a standing order for critical care. 2 days later This is a typical LVH pattern, without ischemia Patient underwent 4 vessel CABG. Upon questioning patient, he denies having any chest pain or chest tightness of any sort. Chest pain is squeezing or tight in nature.
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.
Dr. Smith's ECG Blog
MARCH 8, 2021
He was a 30-something with chest pain. A male in his 30's complained of sudden severe substernal chest pain. Perhaps they indicate an open artery with minimal flow and severe subendocardial ischemia, but not total subepicardial ischemia. Here is one case of a patient I saw. But we find that this is unusual.
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.
Dr. Smith's ECG Blog
FEBRUARY 15, 2018
Submitted and written by Alex Bracey, with edits by Pendell Meyers and Steve Smith: I was walking through the critical care section of the ED when I overheard a discussion about the following ECG. The patient was given fentanyl initially for chest pain with minimal effect and then vomited which was followed by zofran and famotidine.
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. We activated the cath lab.
Dr. Smith's ECG Blog
JUNE 23, 2024
This was interpreted by the treating clinicians as not showing any evidence of ischemia. Given the presentation, the cardiologist stented the vessel and the patient returned to the ICU for ongoing critical care. He did not remember whether he had experienced any chest pain. He was admitted to cardiology.
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