Chest Pain Embolism Stent 
Dr. Smith's ECG Blog
MAY 23, 2023
Written by Pendell Meyers A man in his early 40s experienced acute onset chest pain. The chest pain started about 24 hours ago, but there was no detailed information available about whether his pain had come and gone, or what prompted him to be evaluated 24 hours after onset.
Dr. Smith's ECG Blog
DECEMBER 14, 2016
A middle aged male presented at midnight after 14 hours of constant, severe substernal chest pain, radiating to his throat and to bilateral jaws, and associated with diaphoresis. The pain was not positional, pleuritic, or reproducible. It was not relieved by anything. He had no previous medical history.
Dr. Smith's ECG Blog
NOVEMBER 17, 2023
It is of an elderly woman who complained of shortness of breath and had a recent stent placed. Ken (below) is appropriately worried about pulmonary embolism from the ECG. Also, we know the patient had a stent. Finally, the presentation is dyspnea, not chest pain. What do you think?
Dr. Smith's ECG Blog
MAY 13, 2024
Chest Pain – Benign Early Repol or OMI? Written by Destiny Folk, MD, Adam Engberg, MD, and Vitaliy Belyshev MD A man in his early 60s with a past medical history of hypertension, type 2 diabetes, obesity, and hyperlipidemia presented to the emergency department for evaluation of chest pain.
Dr. Smith's ECG Blog
NOVEMBER 25, 2017
Written by Pendell Meyers, edits by Smith: Case A 72 year old female with hypertension and COPD presented with sudden shortness of breath and chest pain. On day 3 of hospitalization she underwent coronary angiography, revealing a 95% lesion in the mid-LAD which was stented. There is sinus rhythm with PACs and PVCs.
Circulation
NOVEMBER 11, 2024
Description of Case:A 64-year-old male with complex medical history, including infective endocarditis of the aortic valve requiring surgical replacement with a bioprosthetic valve and recurrent infective endocarditis of the bioprosthetic valve, presented with two hours of crushing chest pain and found to have ST elevations.
Dr. Smith's ECG Blog
DECEMBER 17, 2011
He took another look and realized that the culprit was indeed in the proximal RCA and that the thrombus had embolized distally. And so he put the stent in the proximal RCA. A 56 year old woman with chest pain and hypotension : [link] Learning point : Even when you have an angiogram, the ECG findings make a difference.
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