Chest Pain Ischemia Pediatrics 
Dr. Smith's ECG Blog
DECEMBER 10, 2019
This is a previously healthy male teenager who was awoken by chest pain. The pain is described as located in the midsternal area, radiating to the right arm, described as 8-9/10 and worse with deep inspirations. In the evening, he became diaphoretic and complained of 9/10 continuous chest pain.
Dr. Smith's ECG Blog
JULY 22, 2023
He denied chest pain or shortness of breath. In the clinical context of weakness and fever, without chest pain or shortness of breath, the likelihood of Brugada pattern is obviously much higher. Pediatric and elderly patients were more predisposed to developing an arrhythmic event in the setting of fever [7].
Dr. Smith's ECG Blog
JANUARY 23, 2024
There was no chest pain. Extensive conduction system abnormalities can have various causes (ischemia, genetic, infectious, amyloid, etc). This was written by Magnus Nossen The patient is a female in her 50s. She presented with a one week hx of «dizziness» and weakness. She was feeling fine prior to the last seven days.
Dr. Smith's ECG Blog
JANUARY 30, 2019
It was from a patient with chest pain: Note the obvious Brugada pattern. Pediatric and elderly patients were more predisposed to developing an arrhythmic event in the setting of fever [7]. The elevated troponin was attributed to either type 2 MI or to non-MI acute myocardial injury. There is no further workup at this time.
Dr. Smith's ECG Blog
FEBRUARY 12, 2025
She did not even need to ask in this case, because even if the patient presented with chest pain, she would call it NEGATIVE. This ST-T wave pattern in lead V5 is not seen in other leads, as would be expected if this was truly a change of acute ischemia. What about the R = S Phenomenon in the Inferior Leads?
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