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A young peripartum woman with Chest Pain

Dr. Smith's ECG Blog

[link] A 30 year-old woman was brought to the ED with chest pain. It had started just after nursing her newborn, about an hour prior, and she described it as a severe non-pleuritic “pressure” radiating to the back. She had given birth a week ago, and she had similar chest pain during her labor.

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Occlusion myocardial infarction is a clinical diagnosis

Dr. Smith's ECG Blog

After dinner the day of presentation, she had left neck and elbow pain which she described as dull, achy, and worse with exertion. She contacted her neighbor, a nurse, for help. See this case: Persistent Chest Pain, an Elevated Troponin, and a Normal ECG. See this case: A man his 50s with chest pain.

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Watch what happens when "pericarditis" and morphine cloud your judgment

Dr. Smith's ECG Blog

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

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60-something with wide complex tachycardia: from where does the rhythm originate?

Dr. Smith's ECG Blog

Echocardiogram: Estimated left ventricular ejection fraction, lower limits of normal; 45-50%. In summary — this leaves us with the abrupt onset of a regular WCT rhythm at ~185-190/minute ( that woke this nursing home patient up from a sound sleep ) — without any clear sign of atrial activity.

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Critical Left Main

EMS 12-Lead

David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic (ret) @DidlakeDW Expert commentary and peer review by Dr. Steve Smith [link] @smithECGBlog A 57 y/o Female with PMHx HTN, HLD, DM, and current use of tobacco products, presented to the ED with chest discomfort. Echocardiogram findings (pre-procedure) 1.

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