Remove Chest Pain Remove Heart attacks Remove Ultrasound
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MINOCA : When a heart attack is not a heart attack

Dr. Sanjay Gupta

On the basis of these findings we told her that she had suffered a heart attack. She asked me why I felt she had had a heart attack and I explained to her that she had had chest pains and the blood test indicating damage to the heart was elevated and that was all we needed to say that she had had a heart attack.

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Pericarditis

Dr. Sanjay Gupta

If the inflammation spreads to the surface of the heart itself, it is termed myopericarditis. About 5% of patients who present to A+E with chest pain which is not deemed to be a heart attack or angina are ultimately diagnosed with pericarditis. Acute inflammation of this sac is known as acute pericarditis.

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What do you call fluid collection around the heart?

All About Cardiovascular System and Disorders

Inflammation of pericardium as inflammation elsewhere can be painful and cause chest pain. But pericardial effusion can build up slowly without much pain. When the quantity is large enough to compress the heart, the person may feel breathless or dizzy because of a fall in blood pressure.

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46 year old with chest pain develops a wide complex rhythm -- see many examples

Dr. Smith's ECG Blog

Written by Colin Jenkins and Nhu-Nguyen Le with edits by Willy Frick and by Smith A 46-year-old male presented to the emergency department with 2 days of heavy substernal chest pain and nausea. He reported a history of “Wolf-Parkinson-White” and “heart attack” but said neither had been treated. Is there STEMI?

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Early repol or anterior OMI?

Dr. Smith's ECG Blog

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.

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A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

Dr. Smith's ECG Blog

No prior exertional complaints of chest pain, dizziness, lightheadedness, or undue shortness of breath. He denied headache or neck pain associated with exertion. I sent this ECG to Dr. Smith, with the only information that it is a 17 year old with chest pain. 24 yo woman with chest pain: Is this STEMI?

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A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

Written by Pendell Meyers and Peter Brooks MD A man in his 30s with no known past medical history was reported to suddenly experience chest pain and shortness of breath at home in front of his family. Chest pain, SOB, Precordial T-wave inversions, and positive troponin. Now another, with ultrasound. This is a quiz.