Chest Pain Dysrhythmia Heart Failure 
Dr. Smith's ECG Blog
MARCH 2, 2019
Opinions vary widely on the K level at which a patient must be admitted on a monitor because of the risk of ventricular dysrhythmias. My rationale is that if the K is affecting the ECG, then it is affecting the electrical milieu and can result in serious dysrhythmias. Until some real data is available, my opinion is this: 1.
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. Heart failure leading to death was related to all subclasses of PVC. Learning Points: 1.
Dr. Smith's ECG Blog
NOVEMBER 19, 2016
It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. This was contributed by some folks at Wake Forest: Jason Stopyra, Shannon Mumma, Sean O'Rourke, and Brian Hiestand.
Dr. Smith's ECG Blog
MARCH 6, 2020
This middle-aged man with no cardiac history but with significant history of methamphetamin and alcohol use presented with chest pain and SOB, worsening over days, with orthopnea. NT-proBNP values less than 300 pg/ml have a 99% negative predictive value for excluding congestive heart failure. C (99 °F), Resp (!)
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). Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. Syncope with Exertion (EGSYS) 7.
Dr. Smith's ECG Blog
MARCH 6, 2025
Sinus tach is often misinterpreted as a dysrhythmia. With OMI, all you know is that your patient has some nonspecific chest pain, SOB, shoulder pain etc. They often have good ejection fraction and tolerate the dysrhythmia quite well. 2) PSVT with "aberrancy" (atypical RBBB+LAFB).
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