Chest Pain Heart Failure Stents 
Dr. Smith's ECG Blog
AUGUST 6, 2024
Written by Magnus Nossen with Edits by Grauer and Smith The ECGs in today’s case are from 3 different patients all presenting with new-onset CP ( Chest Pain ). One of the patients was lucky to have expert ECG interpretation by the Queen Of Hearts AI model. For 2 of the 3 patients — the cath lab was activated based on the ECG.
Dr. Smith's ECG Blog
MARCH 22, 2024
Written by Willy Frick A man in his 50s with history of hypertension, hyperlipidemia, and a 30 pack-year smoking history presented to the ER with 1 hour of acute onset, severe chest pain and diaphoresis. Neverthelss, his anterior wall was saved and he had normal ejection fraction without heart failure. What do you think?
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. The pain was unrelieved. It was not relieved by anything. What do you want to do?
Dr. Smith's ECG Blog
MAY 20, 2024
A 63 year old man with a history of hypertension, hyperlipidemia, prediabetes, and a family history of CAD developed chest pain, shortness of breath, and diaphoresis after consuming a large meal at noon. He called EMS, who arrived on scene about two hours after the onset of pain to find him hypertensive at 220 systolic.
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. I was told that the Queen of Hearts had called it OMI with high confidence. 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
OCTOBER 30, 2023
A 60 yo with 2 previous inferior (RCA) STEMIs, stented, called 911 for one hour of chest pain. He had no h/o heart failure. The first hs troponin I returned at 1100 ng/L Angiogram Lesion on 1st Obtuse Marginal : Proximal subsection = 90% stenosis Stented. DBT was 120 minutes, pretty good for a Non-STEMI OMI.
Dr. Smith's ECG Blog
JUNE 11, 2021
Jesse McLaren (@ECGcases), of Emergency Medicine Cases Reviewed by Pendell Meyers and Steve Smith An 85yo with a history of hypertension developed chest pain and collapsed, and had bystander CPR. On arrival, GCS was 13 and the patient complained of ongoing chest pain. So the RCA was stented.
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