Chest Pain Physiology Ultrasound 
Dr. Smith's ECG Blog
MARCH 15, 2021
An 80-something year old man with history of metastatic cancer had acute onset of chest pain and called 911. There is no typical evolution of MI (so BOTH EKG evolution, and troponin, proves there was no acute MI) 2 weeks later, the patient present with acute chest pain again. He ruled out for MI by troponins again.
Dr. Smith's ECG Blog
OCTOBER 1, 2023
A man in his mid 60s with history of CAD and stents experienced sudden onset epigastric abdominal pain radiating up into his chest at home, waking him from sleep. He had active chest pain at the time of triage at 0137 at night, with this triage ECG: What do you think? Gallbladder ultrasound was negative for stones.
Dr. Smith's ECG Blog
APRIL 20, 2018
female with HTN, HLD, diabetes, ESRD on dialysis is brought in by EMS with sudden onset, left -sided chest pain for the past four hours. While she was in her bed at home, she had sudden onset of left sided chest pain that radiated to her shoulder. The pain was pleuritic, without nausea or diaphoresis.
Dr. Smith's ECG Blog
JANUARY 5, 2024
The patient said his chest pain was 4/10, down from 8/10 on presentation. On intravascular ultrasound (IVUS), the mid RCA plaque was described as "cratered, inflamed, and bulky," and the OM plaque was described as "bulky with evidence of inflammation and probably ulceration." Additional findings: No ST elevation."
Dr. Sanjay Gupta
DECEMBER 19, 2022
She asked me why I felt she had had a heart attack and I explained to her that she had had chest pains and the blood test indicating damage to the heart was elevated and that was all we needed to say that she had had a heart attack. Genetics and physiological stress are also risk factors.
Dr. Smith's ECG Blog
FEBRUARY 12, 2023
There was no chest pain. So we did a bedside cardiac ultrasound. Acute posterior OMI would be a prime concern for the ECG in Figure-1 — IF the patient presented with cardiac-sounding chest pain. But today's patient had no chest pain. I could not see a posterior wall motion abnormality.
Dr. Smith's ECG Blog
NOVEMBER 19, 2016
It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. Smith comment: This patient did not have a bedside ultrasound. In fact, bedside ultrasound might even find severe aortic stenosis. What should be done?
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