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A man in his 40s with acute chest pain. What do you think?

Dr. Smith's ECG Blog

Sent by anonymous, written by Pendell Meyers, reviewed by Smith and Grauer A man in his 40s presented to the ED with HTN, DM, and smoking history for evaluation of acute chest pain. He was eating lunch when he had sudden onset chest pressure, 9/10, radiating to his back, with sweating and numbness in both hands. was discovered.

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Siemens Healthineers Announces FDA Clearance of Somatom Pro.Pulse Dual-Source CT Scanner

DAIC

milla1cf Tue, 12/19/2023 - 17:05 December 19, 2023 — Siemens Healthineers announced the Food and Drug Administration ( FDA ) clearance of the Somatom Pro.Pulse, a dual-source computed tomography scanner designed to be more affordable for a wide range of healthcare facilities, including outpatient diagnostic centers. Mukherjee, D.,

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An adolescent with trauma, chest pain, and a wide complex rhythm

Dr. Smith's ECG Blog

There was apparently no syncope and he had no bony injuries, but he did complain of left sided chest pain. His chest was tender. He was discharged and schedule for an outpatient echo which has not been done yet. A bedside cardiac ultrasound was normal. An ECG was recorded: Avinash was understandably confused by this ECG.

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Hackensack Meridian Jersey Shore University Medical Center Providing State-of-the-Art Medtronic APOLLO Clinical Trial Treating Heart Valve Disease

DAIC

Monmouth and Ocean county residents are becoming increasingly aware of the world-class cardiovascular care provided at Jersey Shore.

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A Picture of Subendocardial Ischemia

Dr. Smith's ECG Blog

This patient presented with a mechanical fall and had chest pain. His chest pain increased and this ECG was recorded: Now there is increasing inferior ST elevation. Severe Left Main disease, and chest pain with contrast injection into the LM. This case shows a CT image of subendocardial ischemia.

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See how bad the outcome can be if you don't know OMI findings on the ECG, and don't use the Queen of Hearts

Dr. Smith's ECG Blog

No patient with chest pain should be sent home without troponin testing. BOTTOM Line: Unless primary care clinicians attain a level of excellence in the interpretation of outpatient X-rays and ECGs — these tests should be routinely overread by physicians with recognized expertise in this interpretation.

Outcomes 112
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A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

Hopefully a repeat echocardiogram will be performed outpatient. ECG of pneumopericardium and probable myocardial contusion shows typical pericarditis Male in 30's, 2 days after Motor Vehicle Collsion, complains of Chest Pain and Dyspnea Head On Motor Vehicle Collision. 1900: RBBB and LAFB are almost fully resolved.