Dr. Smith's ECG Blog

SEPTEMBER 29, 2018

No chest pain. His inpatient clinicians did not think that an urgent angiogram was warranted given that he was chest pain free, his EKG appeared nondiagnostic, and serial troponins were not elevating beyond 2 ug/L. Patients on dialysis often do not have chest pain in the setting of acute MI.

Chest Pain 52

Chest Pain Myocardial Infarction Cardiac Arrest Ischemia 52

EMS 12-Lead

JUNE 1, 2022

The patient care narrative states no further changes in heart rate with persistent LBBB morphology. He received a permanent pacemaker during the subsequent inpatient stay. LBBB is typically the result of preexisting hypertrophy, ischemic heart disease, or cardiomyopathy. Hospital transport was unremarkable.

Heart Failure 52

Heart Failure Myocardial Infarction Bradycardia Chest Pain 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. As I met the paramedics and cath team in the lab, I was ready to see severe coronary disease (CAD), but the vessels were non-obstructive.

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40