MIBHS

FEBRUARY 15, 2025

This condition reduces blood flow to the heart, increasing the risk of angina (chest pain) and heart attacks. Exercise Regularly : Aim for at least 150 minutes of moderate-intensity aerobic activity per week, such as walking, cycling, or swimming.

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Dr. Smith's ECG Blog

APRIL 22, 2022

Written by Jesse McLaren, with comments from Smith and Grauer A 60 year old presented with three weeks of intermittent non-exertional chest pain without associated symptoms. A prospective validation of the HEART score for chest pain patients at the emergency department. Backus BE, Six AJ, Kelder JC, et al.

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Chest Pain Ischemia Myocardial Infarction Angina 52

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. Three patients with chest pain and “normal” ECGs: which had OMI? Four patients with chest pain and ‘normal’ ECG: can you trust the computer interpretation?

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Chest Pain STEMI Blog Exercise 113

Dr. Smith's ECG Blog

AUGUST 22, 2020

== MY Comment by K EN G RAUER, MD ( 8/22/2020 ): == The patient is a mid-50s man who presented to the ED for new-onset chest pain of ~1 hour duration. He was still having chest pain in the ED at the time ECG #1 was done ( Figure-1 ). His symptoms awakened him from sleep. The Case Continues: Initial troponin was normal.

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Frontiers in Cardiovascular Medicine

JULY 5, 2024

BackgroundVasospastic angina usually presents with intermittent episodes of chest pain. It can rarely be associated with the perception of phantom odors.Case summaryA 69-year-old woman presented for evaluation of intermittent shortness of breath and chest pain.

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Angina Chest Pain Coronary Artery Disease Exercise 52

Heart BMJ

JANUARY 29, 2024

1 2 The exercise ECG, once the stalwart of chest pain evaluation, has lost favour over the last two decades in most heart centres due to its relatively poor discriminatory ability and reliance on patients to walk on a treadmill.

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DAIC

MAY 2, 2024

Results from the open label roll-in cohort of patients having chronic myocardial ischemia with refractory angina showed an average increase in exercise tolerance of 107 seconds and an average of 82% reduction in angina episodes at the primary six-month follow-up endpoint compared to before receiving the study treatment.

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Frontiers in Cardiovascular Medicine

JANUARY 7, 2024

Treadmill exercise stress test showed excellent functional capacity without exercise-induced chest pain or ischemic ECG changes. The RCA demonstrated a normal course to the right atrioventricular groove, and the posterior descending artery arose from the RCA.

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Dr. Smith's ECG Blog

DECEMBER 9, 2011

This was a 70 year old woman who had chest pain while exercising the day before , then developed chest pain on the day of the ECG and called 911. Here is a similar case in which all the data is available : A 65 year old woman with no previous cardiac history presented with 2 hours of typical chest pain.

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Chest Pain STEMI Exercise Hospital 52

Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

Because the patient was exercising, which increases sympathetic tone, facilitating AV conduction. Why did today's patient develop AFlutter while exercising on a treadmill? Does Exercise Induce Non-Sinus Tachyarrhythmias? It is also unknown if this 60-something man had been regularly exercising over time vs being sedentary.

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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.

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Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

The history is concerning ( This patient was awakened from sleep by chest pain that persisted for several hours — on a background of intermittent CP in recent weeks ). The ECG changes seen between the initial ECG and the repeat ECG after NTG — are undeniable!

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AMS Cardiology

SEPTEMBER 3, 2023

Below we’ll explore several ways to stay active and incorporate exercise into your daily routine even when the weather gets cold. On days when the weather permits, breathe in the fresh air and engage in outdoor exercises such as walking or hiking. This baseline assessment helps determine your specific needs and limitations.

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Exercise Chest Pain Diet Education 52

MIBHS

JULY 31, 2024

This can lead to chest pain (angina) and increase your risk of heart attack or stroke, especially if you already have underlying heart disease. Techniques like regular exercise, deep breathing, meditation, and seeking social support can help you manage stress more effectively and mitigate its cardiovascular impacts.

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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. Exercise stress test: Evaluating the heart’s performance during physical activity, this test provides valuable information about cardiovascular health. Can COVID-19 symptoms mimic a heart attack?

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Dr. Smith's ECG Blog

NOVEMBER 24, 2018

If it is a chest pain patient, I would get a formal echo and serial ECGs. There were no others: Notice the similarities to the ECG above, confirming that they are baseline Then he sent the clinical history, which was of a malfunctioning ICD, but without any chest pain or SOB. And look for an old EKG."

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Chest Pain Exercise Myocardial Infarction Blog 52

Dr. Smith's ECG Blog

AUGUST 2, 2024

Written by Willy Frick A 50 year old man with no medical history presented with acute onset substernal chest pain. His ECG is shown below. Pretty obvious anterior current of injury. This was a machine read STEMI positive OMI. Readers of this blog can easily appreciate the hyperacute T waves in the precordium, clearest in V1-V4.

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Dr. S. Venkatesan MD

FEBRUARY 25, 2024

However ,we have some effective clinical and pathological markers too, for effective re-vascularisation They are clinical well being and good functional capacity , relief from chest-pain, reduction of plaque volume, plaque stabilisation, maintenance of collaterals , microvascular patency , reduction of recurrent events.

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MIBHS

JUNE 28, 2024

Stay Active Regular exercise is one of the best ways to promote cardiac health. Exercise helps strengthen your heart muscle, improves circulation, and lowers blood pressure and cholesterol levels, all of which are crucial for maintaining optimal cardiac health.

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MIBHS

FEBRUARY 29, 2024

They may arise after vigorous physical activity or exercise and are widely seen in patients with anemia or a shortage of healthy red blood cells, or during pregnancy when the heart needs to work more than usual to support the baby. It may be the result of anemia, an overactive thyroid, high blood pressure, and other common conditions.

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Heart Valves Chest Pain Blood Pressure Electrocardiogram 52

AMS Cardiology

AUGUST 15, 2023

While some symptoms may be subtle and easily overlooked, others can be apparent. It’s important to note that these signs may vary from person to person and not everyone will experience all of them.

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Heart Disease Blood Pressure Risk Factors Cholesterol 52

Dr. Smith's ECG Blog

OCTOBER 6, 2023

This is one case where it made a difference: Right Ventricular MI seen on ECG helps Angiographer to find Culprit Lesion Nevertheless, it is sometimes a fun academic exercise to try to predict the infarct artery: An elderly patient had onset of chest pain one hour prior. He called 911. Here is the prehospital ECG.

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DAIC

FEBRUARY 29, 2024

ET Murphy Ballroom 4 Health 360x Registry: Scalable Workforce for Equitable Access to Point of Care Decentralized Clinical Trials Prevalence of Cardiovascular Disease and Risk Factors Among National Football League Alumni and Their Family Members: Results from the Huddle Study Hózhó (Heart Failure Optimization at Home to Improve Outcomes): A Pragmatic (..)

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Aortic valve Myocardial Infarction Aortic Blood Pressure 103

Ken Grauer, MD

FEBRUARY 13, 2023

The ECG in Figure-1 was obtained from an older woman — who presented with chest pain and palpitations over the previous hour. Typically — these arrhythmias are induced by exercise or intense emotional states ( ie, associated with increased catecholamine discharge ). BP = 140/90 mm Hg in association with the rhythm in Figure-1.

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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. The patient was sent home with a prescription for omeprazole to treat presumed peptic disease.

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Dr. Smith's ECG Blog

JANUARY 5, 2024

He described the symptom as chest burning with occasional radiation into his throat and jaw. He first noticed it while exercising. The day of presentation, the pain woke him from sleep, which is why he decided to come in. The patient said his chest pain was 4/10, down from 8/10 on presentation.

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Angina Plaque Document Stent 120

AMS Cardiology

APRIL 16, 2024

This forces your heart to work harder, leading to symptoms like fatigue, shortness of breath, chest pain and dizziness. You might experience increased energy levels, reduced shortness of breath and improved exercise tolerance. In aortic stenosis, the valve leaflets stiffen and narrow, restricting blood flow.

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DAIC

DECEMBER 8, 2023

AFib causes a variety of symptoms, including fast or chaotic heartbeat, fatigue, shortness of breath, and chest pain, and causes about 450,000 hospitalizations each year, according to the Centers for Disease Control and Prevention.

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Dr. Smith's ECG Blog

FEBRUARY 6, 2020

male with a history of HTN and ETOH developed squeezing epigastric abdominal pain with associated vomiting and diaphoresis, followed by a syncopal episode which lasted about 10 seconds. When medics arrived, he denied any chest pain, shortness of breath, or palpitations prior to the syncopal episode.

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Chest Pain Ischemia Angina Electrocardiogram 40

Ken Grauer, MD

JULY 15, 2023

The ECG in Figure-1 was obtained from a previously healthy middle-aged man — who while performing his regular exercise routine, developed "slight" chest discomfort and "palpitations". These symptoms persisted for over an hour, which led the patient to contact EMS.

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Dr. Smith's ECG Blog

MARCH 15, 2023

She did notice something slightly wrong subjectively, but had no palpitations, chest pain, or SOB, or any other symptom. Vagally-mediated AFib is more likely to occur at night or after meals — and less likely to occur with exercise. Her Apple Watch suddenly told her that she is in atrial fibrillation. She was on no medications.

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Dr. Smith's ECG Blog

FEBRUARY 23, 2023

See these similar cases: A man in his sixties with chest pain Why is there inferior ST elevation, and would you get posterior leads? Whether this is the result of a vasovagal reaction to the patient's abdominal pain? — Sudden CP and SOB with Inferior ST Elevation and in STE in V1. Is it inferior and RV OMI?

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EMS 12-Lead

MAY 20, 2022

Furthermore, she denies any hydration since conclusion of exercise. Cardiology felt her chest pain to be, most likely, the result of coronary supply-demand mismatch in the context of HCM endothelial remodeling (i.e. Below are two examples of this.

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Dr. Smith's ECG Blog

APRIL 15, 2020

While specific criteria to assess hemodynamic stability include the presence ( or absence ) of arrhythmia-related hypotension, chest pain, shortness of breath, and/or mental status changes — an overall “Gestalt” assessment from “being there” (ie, at the patient’s bedside ) needs to be consciously made.

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MIBHS

MARCH 31, 2025

Signs include: Sudden loss of consciousness No pulse or breathing Collapse without prior chest pain or discomfort If someone experiences sudden cardiac arrest, it is crucial to begin CPR immediately and call the local emergency number. Without prompt treatment, parts of the heart muscle may become damaged or die.

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Dr. Smith's ECG Blog

JANUARY 9, 2023

Sent by anonymous, written by Pendell Meyers A male in his teens presented with complaints of chest discomfort and dyspnea beginning while exercising but without obvious injury. He immediately stopped exercising and symptoms started to improve. He denied headache or neck pain associated with exertion. Pericarditis?

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Chest Pain Aneurysm STEMI Thrombosis 52

MIBHS

OCTOBER 31, 2024

Exercise regularly to keep the heart strong and healthy. Preventing Cardiomegaly While some causes of cardiomegaly are genetic or beyond personal control, there are steps you can take to lower your risk of developing an enlarged heart: Control blood pressure by maintaining a healthy diet and taking prescribed medications.

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