Dr. Smith's ECG Blog

APRIL 22, 2022

Written by Jesse McLaren, with comments from Smith and Grauer A 60 year old presented with three weeks of intermittent non-exertional chest pain without associated symptoms. A prospective validation of the HEART score for chest pain patients at the emergency department. Backus BE, Six AJ, Kelder JC, et al.

Chest Pain 52

Chest Pain Ischemia Myocardial Infarction Angina 52

DAIC

MAY 14, 2024

In about 70 percent of cases, patients with HCM experience obstruction to blood flow, which increases pressures in the heart and can lead to chest pain, shortness of breath and reduced exercise capacity.

Cardiomyopathy 126

Cardiomyopathy Exercise Chest Pain Quality of Life 126

Dr. Smith's ECG Blog

MAY 7, 2024

A 30-something presented with chest pain, palpitations, and SOB. Cardioversion can be done pharmacologically (usually procainamide) , but why would you want to do that? He has had similar symptoms for 4 years, but has never been evaluated. This means NO calcium channel blocker, beta blocker, adenosine, or digoxin.

Atrial Fibrillation 116

Atrial Fibrillation AFIB Ablation Chest Pain 116

DAIC

APRIL 11, 2024

At two years, people who underwent preventive PCI were 89% less likely to experience the composite primary endpoint of cardiac death, heart attack in the target vessel, revascularization due to ischemia in the target vessel or hospitalization for unstable or progressive chest pain compared with people who received medications alone.

Plaque 111

Plaque Heart attacks Heart Attack Coronary Artery Disease 111

Dr. Smith's ECG Blog

FEBRUARY 8, 2015

The supposition that beta blockade in the presence of cocaine intoxication would lead to unopposed alpha constriction is not based in accurate pharmacology, and the study that showed this effect with human intracoronary administration was done, as mentioned in the article, with propranolol, a nonselective beta blocker. Marcus, G. Gibler, W.

Tachycardia 52

Tachycardia Chest Pain Pharmacology Myocardial Infarction 52

DAIC

MAY 9, 2024

New HCM Guidelines Updated recommendations in the guideline reflect recent evidence about HCM treatment and management including new forms of pharmacologic management; participation in vigorous recreational activities and competitive sports; and risk stratification for sudden cardiac death (SCD) with an emphasis on pediatric patients.

Cardiomyopathy 52

Cardiomyopathy Pediatrics Quality of Life Sudden Cardiac Death 52

DAIC

FEBRUARY 29, 2024

24 will focus on the following three current guideline updates: American College of Cardiology (ACC)/American Heart Association (AHA) Guidelines 2023 Atrial Fibrillation Guideline - Pharmacology II: Strokes vs. Bleeds, What Do the Guidelines Tell Us About Practical Management in A-fib? The Guidelines Sessions at ACC.24

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103