ECG Guru

MARCH 30, 2025

I will start the discussion by admitting that I am not an expert of electrophysiology or complex dysrhythmias. I do not know if this patient has a history of cardiac disease or a recent complaint of chest pain, but T wave inversion and some biphasic T waves makes me think of reperfusion changes, reflecting a recent M.I.

Dysrhythmia 64

Dysrhythmia RN Chest Pain Electrophysiology 64

ECG Guru

MARCH 30, 2025

I will start the discussion by admitting that I am not an expert of electrophysiology or complex dysrhythmias. I do not know if this patient has a history of cardiac disease or a recent complaint of chest pain, but T wave inversion and some biphasic T waves makes me think of reperfusion changes, reflecting a recent M.I.

Dysrhythmia 64

Dysrhythmia RN Chest Pain Electrophysiology 64

Dr. Smith's ECG Blog

JANUARY 9, 2024

She had a single chamber ICD/Pacemaker implanted several years prior due to ventricular tachycardia. She presented to the emergency department after a couple of days of chest discomfort. Learning points *A patient with tachydysrhythmia and chest discomfort needs immediate rhythm or rate control. small squares in width (260ms).

Tachycardia 119

Tachycardia Electrophysiology Atrial Flutter Ischemia 119

EMS 12-Lead

JUNE 1, 2022

He received a permanent pacemaker during the subsequent inpatient stay. Smith and Myers found that in otherwise classic Wellens syndrome – that is, prior anginal chest pain that resolves with subsequent dynamic T wave inversions on the ECG – even the T waves of LBBB behave similarly. [2] Hospital transport was unremarkable.

Heart Failure 52

Heart Failure Myocardial Infarction Bradycardia Chest Pain 52

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.

Arrhythmia 52

Arrhythmia Outcomes Chest Pain Risk Factors 52

Dr. Smith's ECG Blog

DECEMBER 20, 2024

Written by Willy Frick with edits by Ken Grauer An older man with a history of non-ischemic HFrEF s/p CRT and mild coronary artery disease presented with chest pain. He said he had had three episodes of chest pain that day while urinating. How does a pacemaker accomplish RBBB morphology? ECG 1 What do you think?

Chest Pain 102

Chest Pain Tachycardia Pacemaker Defibrillator 102