Chest Pain Echocardiogram Exercise 
Heart BMJ
APRIL 15, 2024
Clinical introduction A man in his 40s with a history of hyperlipidaemia presented with intermittent, dull left-sided chest pain for 2 weeks that was not consistently exertional. Physical examination, an ECG, basic laboratories and a chest X-ray were unremarkable. A transthoracic echocardiogram was performed ( figure 1 ).
Dr. Smith's ECG Blog
NOVEMBER 9, 2023
A 60-something yo female presented w/ exertional chest pain for 3 days. Pain was 8/10 and constant. She has been experiencing progressively worsening exertional dyspnea and chest tightness mostly when climbing up flights of stairs since early September. But the patient has active chest pain.
Dr. Smith's ECG Blog
JUNE 11, 2024
Sent by anonymous A man in his 40s with no previous heart disease presented within 30 minutes of onset of acute chest pain that started while exercising. Formal echocardiogram: Systolic function is at the lower limits of normal. Three patients with chest pain and “normal” ECGs: which had OMI?
Frontiers in Cardiovascular Medicine
JANUARY 7, 2024
The echocardiogram showed normal cardiac structure and function, however, there was a concern for possible anomalous origin of the left coronary artery. Treadmill exercise stress test showed excellent functional capacity without exercise-induced chest pain or ischemic ECG changes.
Wellnest
DECEMBER 31, 2023
Yes, COVID-19 symptoms can resemble a heart attack, including chest pain, shortness of breath, and changes in echocardiogram or EKG. Myocarditis symptoms can also mimic a heart attack, and small blood clots may cause pain. Exercise should be reintroduced gradually, ruling out structural abnormalities first.
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. LAD occlusion. Great case.
Dr. Smith's ECG Blog
JULY 11, 2024
No patient with chest pain should be sent home without troponin testing. On this visit, he expressed worsening exercise tolerance, new orthopnea, and he told his provider that the omeprazole did not relieve any symptoms. An echocardiogram showed an EF of 20-25%. His BP was now 82/68, and his HR was 112.
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