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Acute chest pain, right bundle branch block, no STEMI criteria, and negative initial troponin.

Dr. Smith's ECG Blog

Written by Pendell Meyers A man in his 40s called EMS for acute chest pain that awoke him from sleep, along with nausea and shortness of breath. His history included known heart failure with prior EF 18%, insulin dependent diabetes, and polysubstance abuse. Vitals were within normal limits except for tachypnea.

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46 year old with chest pain develops a wide complex rhythm -- see many examples

Dr. Smith's ECG Blog

Written by Colin Jenkins and Nhu-Nguyen Le with edits by Willy Frick and by Smith A 46-year-old male presented to the emergency department with 2 days of heavy substernal chest pain and nausea. He reported a history of “Wolf-Parkinson-White” and “heart attack” but said neither had been treated. Am Heart J 1999;137:799–805.

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An adolescent with trauma, chest pain, and a wide complex rhythm

Dr. Smith's ECG Blog

There was apparently no syncope and he had no bony injuries, but he did complain of left sided chest pain. His chest was tender. Accelerated ventricular rhythm in children: a review and report of a case with congenital heart disease 3. A bedside cardiac ultrasound was normal. He wrote: "ECG 1 - shows wide ???IVCD

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Women’s Guide to Heart Health: Spotting the Early Signs of Cardiac Trouble

GEMMS

However, heart disease is the leading cause of death for women in the United States, making early detection and proactive management essential. Heart disease affects millions of women globally. In the United States alone, nearly one in five women die from heart disease each year.

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A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?

Dr. Smith's ECG Blog

He had concurrent sharp substernal chest pain that resolved, but palpitations continued. Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. A 50-something presented with s udden onset palpitations 8 hrs prior while sitting at desk at work.

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The Advantages Of A CT Coronary Angiogram

Dr. Paddy Barrett

Share Chest Pain Symptoms There is no role for CT Calcium Scoring in the setting of someone with chest pain symptoms suspected to be from a narrowed coronary artery. This approach also reduces death from heart disease and heart attacks by 41% compared to conventional approaches such as exercise stress testing 2.

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H/o MI and stents with brief angina has this ED ECG. And what is Fractional Flow Reserve?

Dr. Smith's ECG Blog

The patient's chest pain had resolved by the time of the ECG 2. But it does prove that the patient has coronary disease and makes the probability that his chest pain is due to ACS very very high. He presents with an episode of brief, new-onset chest pain that had resolved by the time E CG # 1 was obtained.

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