Chest Pain Critical Care Stents 
Dr. Smith's ECG Blog
JULY 23, 2024
I was working at triage when the medics brought this patient who is 65 yo and has had chest pain for 12 hours. I took the patient to the critical care area and questioned him more on the way. The pain had been intermittent until an hour before arrival, when he called 911. It was opened and stented.
Dr. Smith's ECG Blog
NOVEMBER 1, 2022
The 50-something patient with history of coronary stenting and slightly reduced LV ejection fraction. This EKG was recorded as part of a standing order for critical care. In the setting of prior stenting and reduced left ventricular ejection fraction, would pursue a heart team revascularization approach Syntax score 28.5,
Dr. Smith's ECG Blog
SEPTEMBER 11, 2018
I activated the cath lab and brought her to the critical care area. Angiogram showed a distal RCA occlusion which was stented. Echo showed inferior wall motion abnormality.
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
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." Opened and stented. There are relatively large T-waves in V4-V6.
Dr. Smith's ECG Blog
SEPTEMBER 3, 2023
This was sent by anonymous The patient is a 55-year-old male who presented to the emergency department after approximately 3 to 4 days of intermittent central boring chest pain initially responsive to nitroglycerin, but is now more constant and not responsive to nitroglycerin. It is unknown when this pain recurred and became constant.
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