Chest Pain Dysrhythmia Electrophysiology 
ECG Guru
MARCH 30, 2025
This is an interesting case for your students who want to delve into dysrhythmias with an eye on detail. I will start the discussion by admitting that I am not an expert of electrophysiology or complex dysrhythmias. I hope some of our dysrhythmia Gurus will delve into the rhythm and maybe even provide laddergrams.
ECG Guru
MARCH 30, 2025
This is an interesting case for your students who want to delve into dysrhythmias with an eye on detail. I will start the discussion by admitting that I am not an expert of electrophysiology or complex dysrhythmias. I hope some of our dysrhythmia Gurus will delve into the rhythm and maybe even provide laddergrams.
Dr. Smith's ECG Blog
JUNE 11, 2023
Written by Bobby Nicholson MD and Pendell Meyers A man in his 30s presented to the ED for evaluation of chest pain and palpitations. At this point, the patient had been symptomatic for almost 5 hours, appeared unwell with chest pain and diaphoresis. Thus, the patients rhythm is atrial fibrillation with WPW.
Dr. Smith's ECG Blog
JULY 22, 2023
He denied chest pain or shortness of breath. In the clinical context of weakness and fever, without chest pain or shortness of breath, the likelihood of Brugada pattern is obviously much higher. There were no dysrhythmias on cardiac monitor during observation. See below for PM Cardio digitized version of this.
Dr. Smith's ECG Blog
APRIL 8, 2016
A late middle-aged man presented with one hour of chest pain. Could the dysrhythmias have been prevented? Severe hypokalemia in the setting of STEMI or dysrhythmias is life-threatening and needs very rapid treatment. Most recent echo showed EF of 60%. He also had a history of chronic kidney disease, stage III.
Dr. Smith's ECG Blog
JANUARY 30, 2019
It was from a patient with chest pain: Note the obvious Brugada pattern. She has not yet been seen by electrophysiology or had further genetic testing for Brugada syndrome. The elevated troponin was attributed to either type 2 MI or to non-MI acute myocardial injury. There is no further workup at this time.
Dr. Smith's ECG Blog
APRIL 8, 2015
Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Electrophysiologic studies were performed in selected patients only as clinically appropriate.
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