article thumbnail

Management of acute coronary syndrome in resource-limited set up: a summary of 4-year review of two hospitals in Ethiopia

Frontiers in Cardiovascular Medicine

This results in severe chest pain or discomfort, with the subsequent release of cardiac biomarkers, and alterations in the electrocardiogram. The average hospital stay was 8.51 (SD7.2) days while In-hospital mortality was 8.8%. were male, with the average age of 56.313.5

article thumbnail

Which patient has the more severe chest pain?

Dr. Smith's ECG Blog

2 middle aged males presented with chest pain. Which had the more severe chest pain at the time of the ECG? Patient 2 at the bottom with a very subtle OMI complained of 10/10 chest pain at the time the ECG was recorded. 414 patients were included in the analysis.

article thumbnail

A young woman with chest pain, cath lab activated

Dr. Smith's ECG Blog

A young woman presented with acute chest pain. The interventionalist and cath team came to the hospital, and when the interventionalist saw the ECG, he inquired further and elicited a family history of Brugada syndrome. This case came from a friend whose sister was the patient. This was her presenting ECG: What do you think?

article thumbnail

ECG Blog #448 — A Young Man with Chest Pain.

Ken Grauer, MD

For example, considering whatever symptoms that the patient may have had ( ie, chest pain, palpitations, shortness of breath, etc. ) — what this might mean in view of the ECG we are looking at. The patient arrested outside the hospital. KEY Points: Use of this systematic 2-Step approach does not slow you down.

article thumbnail

What happened after the Cath lab was activated for a chest pain patient with this ECG?

Dr. Smith's ECG Blog

The patient was a middle-aged female who had acute chest pain of approximately 6 hours duration. The pain was still active at the time of evaluation. The patient survived the hospitalization. See some relevant cases below: Chest pain with anterior ST depression: look what happens if you use posterior leads.

article thumbnail

An 80 year old woman with Left Bundle Branch Block (LBBB) and pleuritic chest pain

Dr. Smith's ECG Blog

This case was sent by Amandeep (Deep) Singh at Highland Hospital, part of Alameda Health System. The patient presented to an outside hospital An 80yo female per triage “patient presents with chest pain, also hurts to breathe” PMH: CAD, s/p stent placement, CHF, atrial fibrillation, pacemaker (placed 1 month earlier), LBBB.

article thumbnail

Serial ECGs for chest pain: at what point would you activate the cath lab?

Dr. Smith's ECG Blog

Written by Jesse McLaren A healthy 75 year old developed 7/10 chest pain associated with diaphoresis and nausea, which began on exertion but persisted. Below is the first ECG recorded by paramedics after 2 hours of chest pain, interpreted by the machine as “possible inferior ischemia”. What do you think?