Remove Chest Pain Remove Dysrhythmia Remove Myocardial Infarction
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A Relatively Narrow Complex Tachycardia at a Rate of 180.

Dr. Smith's ECG Blog

I also believe that we physicians and medics are eager to treat dysrhythmias, and we want to see them even when they are not there. Dilated pupils and hypertension are a strong clue to sympathetic overload, but don't forget anticholinergic syndromes, including tricyclics! Marcus, G. Harvard Medical School, Boston, Massachusetts, USA.

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An athletic 30-something woman with acute substernal chest pressure

Dr. Smith's ECG Blog

This is diagnostic of myocardial infarction. Now you have ECG and troponin evidence of ischemia, AND ventricular dysrhythmia, which means this is NOT a stable ACS. She felt more comfortable being admitted. Subsequent events: Later, before being taken to her room, the 2nd troponin returned at 1.01 Int J Cardiol. 2016;207:341–348.

SCAD 52
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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

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. myocardial infarction), arrhythmias, valvular pathology, shunts, or outflow obstructions.

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STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

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. Literature on Hypokalemia as a risk for ventricular fibrillation in acute myocardial infarction.

STEMI 52
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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

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). Old myocardial infarction, 6. to 1.45) for fatal or nonfatal stroke.