Chest Pain Document Heart Disease 
Dr. Smith's ECG Blog
JUNE 14, 2017
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
Dr. Smith's ECG Blog
JULY 3, 2018
Submitted and written by Alex Bracey with edits by Pendell Meyers and Steve Smith Case A 50ish year old man with a history of CAD w/ prior LAD MI s/p LAD stenting presented to the ED with chest pain similar to his prior MI, but worse. The pain initially started the day prior to presentation. The ST elevation from today is ~0.2
Dr. Smith's ECG Blog
JANUARY 31, 2020
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.
Dr. Smith's ECG Blog
FEBRUARY 16, 2019
Written by Pendell Meyers, few edits by Smith A man in his 60s with history of stroke and hypertension but no known heart disease presented with chest pain that started on the morning of presentation at around 8am. Here is his triage ECG when he presented at 1657: What do you think?
Dr. Smith's ECG Blog
JANUARY 9, 2024
While fully acknowledging that "Sometimes ya gotta be there!" — in order to optimally assess the patient — the clinical definition of hemodynamic stability is for the patient to be without significant symptoms such as chest pain, shortness of breath, hypotension and/or mental status changes — as a direct result of the fast heart rate.
Dr. Smith's ECG Blog
APRIL 15, 2020
As always — it’s nice when we have “the Answer” , here in the form of an EP study documenting the absence of any SVT — with confirmation that the rhythm is VT. Even before you look at the ECG — this statistic increases to over 90% if the patient in question is older and has underlying heart disease.
Dr. Smith's ECG Blog
AUGUST 9, 2024
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.
Expert insights. Personalized for you.
52 
Let's personalize your content