Chest Pain Hospital Pacemaker 
Dr. Smith's ECG Blog
MARCH 19, 2024
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.
ECG Guru
MARCH 30, 2025
I do not know if this patient has a history of cardiac disease or a recent complaint of chest pain, but T wave inversion and some biphasic T waves makes me think of reperfusion changes, reflecting a recent M.I. We do not have followup on this patient's hospital course or treatment. 1) Is this rhythm the result of OMI?
ECG Guru
MARCH 30, 2025
I do not know if this patient has a history of cardiac disease or a recent complaint of chest pain, but T wave inversion and some biphasic T waves makes me think of reperfusion changes, reflecting a recent M.I. We do not have followup on this patient's hospital course or treatment. 1) Is this rhythm the result of OMI?
Dr. Smith's ECG Blog
SEPTEMBER 30, 2019
Case written and submitted by Ryan Barnicle MD, with edits by Pendell Meyers While vacationing on one of the islands off the northeast coast, a healthy 70ish year old male presented to the island health center for an evaluation of chest pain. The chest pain started about one hour prior to arrival while bike riding.
Dr. Smith's ECG Blog
MAY 19, 2022
Written by Pendell Meyers, edits by Smith and Grauer A man in his late 20s with history of asthma presented to the ED with a transient episode of chest pain and shortness of breath after finishing a 4-mile run. His symptoms of chest pain and shortness of breath were attributed to an asthma exacerbation during exercise.
HeartRhythm
SEPTEMBER 8, 2024
An 80-year-old man with renal disease on hemodialysis, coronary artery disease, complete heart block and a dual chamber leadless pacemaker (LP) implanted because of previous bacteremia, presented with syncope. While in the hospital, he had witnessed ventricular fibrillation (VF) arrest for which he received external defibrillation.
Dr. Smith's ECG Blog
JUNE 14, 2017
This case was sent by Dr Avinash Krishnamurthy, a fine emergency medicine resident from Australia Cairns base hospital Case : An adolescent male had a mechanical fall and injured his left shoulder and arm. There was apparently no syncope and he had no bony injuries, but he did complain of left sided chest pain. Is there STEMI?
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