ECG Cases

JULY 30, 2019

What are the most useful historical factors to increase and decrease your pretest probability for ACS? Which cardiac risk factors have predictive value for ACS? The post Ep 128 Low Risk Chest Pain and High Sensitivity Troponin – A Paradigm Shift appeared first on Emergency Medicine Cases.

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Dr. Smith's ECG Blog

APRIL 25, 2023

Healthy male under 25 years old with a pretty good story for acute onset crushing chest pain relieved with nitro. Aggressive risk factor modification. PEARL: Most patients who present with new chest pain + ECG changes + positive troponin — will not need Cardiac MRI. No pericardial effusion on ultrasound."

Chest Pain 52

Chest Pain Pericarditis Blog Cardiomyopathy 52

MIBHS

FEBRUARY 15, 2025

This condition reduces blood flow to the heart, increasing the risk of angina (chest pain) and heart attacks. Coronary Artery Disease (CAD) : High blood pressure accelerates the development of CAD by promoting the buildup of plaques in the coronary arteries.

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Dr. Smith's ECG Blog

JANUARY 9, 2023

No prior exertional complaints of chest pain, dizziness, lightheadedness, or undue shortness of breath. He denied headache or neck pain associated with exertion. I sent this ECG to Dr. Smith, with the only information that it is a 17 year old with chest pain. 24 yo woman with chest pain: Is this STEMI?

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Chest Pain Aneurysm STEMI Thrombosis 52

Circulation: Genomic and Precision Medicine

SEPTEMBER 27, 2023

Background:Patients with de novo chest pain, referred for evaluation of possible coronary artery disease (CAD), frequently have an absence of CAD resulting in millions of tests not having any clinical impact. Circulation: Genomic and Precision Medicine, Volume 16, Issue 5 , Page 442-451, October 1, 2023.

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Chest Pain Coronary Artery Disease Risk Factors Circulation 40

Dr. Smith's ECG Blog

MAY 20, 2024

A 63 year old man with a history of hypertension, hyperlipidemia, prediabetes, and a family history of CAD developed chest pain, shortness of breath, and diaphoresis after consuming a large meal at noon. He called EMS, who arrived on scene about two hours after the onset of pain to find him hypertensive at 220 systolic.

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Chest Pain Blood Pressure Ischemia STEMI 127

Dr. Smith's ECG Blog

APRIL 29, 2023

A 50-something with no previous cardiac history and no risk factors presented to the ED with acute chest pain (pressure) that radiated to the left arm. The Scenario in Today's Case: We are told that the patient in today's case noted a reduction in chest pain at the time ECG #2 was recorded.

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Chest Pain Blog Stenosis Critical Care 52

The British Journal of Cardiology

MARCH 7, 2024

The National Institute for Health and Care Excellence (NICE) advise against routine testing for coronary artery disease (CAD) in patients with non-anginal chest pain (NACP). Cardiovascular risk factors were compared between the groups. Over 23 months, 866 patients with NACP underwent CTCA. We found 11.5%

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Coronary Artery Disease Chest Pain Risk Factors Hypertension 40

Dr. Smith's ECG Blog

APRIL 9, 2023

Submitted by Ali Khan MD and James Mantas MD, MS, written by Pendell Meyers A man in his 50s with history of diabetes, hypertension, and tobacco use presented to the ED with 24 hours of worsening left sided chest pain radiating to the back, characterized as squeezing and pinching, associated with shortness of breath.

Chest Pain 52

Chest Pain Ischemia Stenosis Pulmonary 52

Heart BMJ

MARCH 12, 2024

Objective Growth differentiation factor-15 (GDF-15) is a predictor of death and cardiovascular events when measured during index hospitalisation in patients with acute chest pain. p<0.001), independently of traditional risk factors and baseline troponin T. 95% CI: 1.4 95% CI: 1.4

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Chest Pain Myocardial Infarction Risk Factors Heart Failure 40

Open Heart

NOVEMBER 27, 2023

Objective Prehospital rule-out of non-ST-segment elevation acute coronary syndrome (NSTE-ACS) in low-risk patient with a point-of-care troponin measurement reduces healthcare costs with similar safety to standard transfer to the hospital. Low-risk patients (HEAR score ≤3) were included.

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Chest Pain Risk Factors Hospital 52

Dr. Smith's ECG Blog

OCTOBER 2, 2021

Submitted by Benjamin Garbus, MD with edits by Bracey, Meyers, and Smith A man in his early 30s presented to the ED with chest pain described as an “explosion" of left chest pressure. Pain largely resolved prior to EMS arrival but completely subsided after prehospital NTG and aspirin. Triage EKG: What do you think?

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Chest Pain Ultrasound STEMI Myocardial Infarction 52

Open Heart

AUGUST 25, 2024

Background Patients with low HEART (History, Electrocardiogram, Age, Risk factors, and Troponin level) risk scores who are discharged from the emergency department (ED) may present clinical challenges and diagnostic dilemmas. The use of downstream non-invasive stress imaging (NISI) tests in this population remains uncertain.

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Chest Pain Coronary Artery Disease Myocardial Infarction Electrocardiogram 52

Dr. Smith's ECG Blog

JULY 31, 2013

A 20-something male presented from an outside facility with Chest pain. No thromboembolism risks, not pleuritic, no radiation to the back. No cardiac risk factors, no cocaine use. Vital signs were normal. History: Onset of CP 2.5 hours prior to ED arrival. Tight and pressure, radiates to right arm, + nausea, + SOB.

Chest Pain 52

Chest Pain Aneurysm STEMI Ischemia 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionPatients with cognitive impairment often have a history of cardiovascular disease (CVD) or multiple cardiovascular risk factors (CRFs) such as hypertension, obesity, and hypercholesterolemia. The literature reports that CVD with CRFs may increase the risk of developing vascular dementia and Alzheimer’s Disease.

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Risk Factors Dementia Chest Pain Quality of Life 40

Dr. Smith's ECG Blog

SEPTEMBER 25, 2024

On the second morning of his admission, he developed 10/10 chest pain and some diaphoresis after breakfast. The patient was given opiates which improved his chest pain to 7/10. The consulting cardiologist wrote in their note: “Could be cardiac chest pain. She is usually incredibly good at recognizing them!

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Chest Pain Blog Hospital Tachycardia 121

Dr. Paddy Barrett

JANUARY 30, 2024

Risk factors such as high blood pressure, smoking, and inactivity are important because the longer you are exposed to them, the higher the odds you will develop coronary artery disease sooner in life. And, by extension, have a higher risk of a heart attack. But not everyone with risk factors develops early heart disease.

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Heart Disease Heart Attack Heart attacks Plaque 95

Frontiers in Cardiovascular Medicine

JANUARY 14, 2024

Results Patients with diabetes had significantly less frequent typical pain symptoms, including typical chest pain. Conclusions Type 2 diabetes mellitus is a risk factor not only for the development of AMI, but is also associated with an adverse outcome after AMI.

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Myocardial Infarction Diabetes Chest Pain Risk Factors 64

CTVS

JANUARY 25, 2024

Because its symptoms are commonly associated with so many other conditions, like a cough and chest pain, lung cancer can be hard to diagnose. At CTVS, we are proponents of early screening for lung cancer, especially if you have certain risk factors such as… Source

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Cancer Chest Pain Risk Factors 40

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. Today's patient presented with acute weakness, syncope and fever, but no chest pain or shortness of breath.

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Chest Pain Heart Rhythm Sudden Cardiac Death Dysrhythmia 92

Frontiers in Cardiovascular Medicine

OCTOBER 10, 2024

Genetic protein S (PS) deficiency caused by PROS1 gene mutation is an important risk factor for hereditary thrombophilia.Case introductionIn this case, we report a 28-year-old male patient who developed a severe pulmonary embolism during his visit. The patient had experienced one month of chest pains, coughing and hemoptysis symptoms.

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Embolism Pulmonary Chest Pain Thrombosis 40

Dr. Anish Koka

MAY 16, 2023

This means that at every age, the probability a man complaining of chest pain has significant underlying coronary disease as a cause of this chest pain is much higher than a woman complaining of chest pain. Women also had more cardiovascular risk factors, including hypertension (66.6%

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Chest Pain Coronary Artery Disease Cancer Heart Attack 52

Open Heart

FEBRUARY 1, 2022

years; 1261 (66.6%) women) who presented with chest pain and non-obstructive CAD (angiographic stenosis <50%); coronary vasoreactivity was assessed in the mid-left anterior descending artery. Furthermore, among patients with low aortic PP, CMEID was an independent risk factor for all-cause mortality (HR 2.04, 95% CI 1.01

Coronary Artery Disease 52

Coronary Artery Disease Aortic Chest Pain Risk Factors 52

DAIC

DECEMBER 13, 2023

In some people, AFib causes heart palpitations, lightheadedness, shortness of breath and chest pain. However, diagnosing AFib can be tricky because many with the condition only have occasional bouts of the irregular heartbeat, or few symptoms. From each ECG, the model used one day of data which contained no AFib.

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AFIB Blood Clot Heart Rhythm Heart Failure 111

Dr. Smith's ECG Blog

JULY 3, 2018

Submitted and written by Alex Bracey with edits by Pendell Meyers and Steve Smith Case A 50ish year old man with a history of CAD w/ prior LAD MI s/p LAD stenting presented to the ED with chest pain similar to his prior MI, but worse. The pain initially started the day prior to presentation. The ST elevation from today is ~0.2

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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.

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Plaque Heart Attack Heart attacks Coronary Artery Disease 111

MIBHS

SEPTEMBER 15, 2024

Women often experience heart disease differently than men, with risk factors and symptoms that can be easily overlooked or misinterpreted. While men often report crushing chest pain as the most prominent symptom, women might experience subtler symptoms like shortness of breath, nausea, or back pain.

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Blood Pressure Heart Disease Chest Pain Coronary Artery Bypass Graft 52

Wellnest

MARCH 12, 2023

Chest pain and discomfort, shortness of breath, exhaustion, lightheadedness, vertigo, ankle or leg oedema, and irregular pulse are some early warning signs of heart disease that are frequently experienced. Headaches Headaches might signify heart disease when accompanied by additional symptoms like shortness of breath or chest pain.

Heart Disease 52

Heart Disease Heart Attack Heart attacks Blood Pressure 52

DAIC

MARCH 1, 2024

After the AI model reviewed patterns in electrocardiogram readings as well as patient characteristics, investigators were able to determine risk factors for both types of sudden cardiac arrest.

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Cardiac Arrest Electrocardiogram Defibrillator Electrophysiology 111

Dr. Smith's ECG Blog

OCTOBER 22, 2024

He reported typical chest pain since 4H AM and arrived at our ED at 10h with ongoing chest pain. You must record frequent serial ECGs for patients with chest pain. By definition — this worrisome history immediately places this patient in a higher -risk likelihood for having an acute event.

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Chest Pain STEMI Myocardial Infarction Angioplasty 67

Heart BMJ

MAY 23, 2024

Methods We conducted a subgroup analysis of adult emergency department patients with chest pain prospectively enrolled from eight US sites (January 2017 to September 2018). Patients had 0-hour and 1-hour hs-cTnT measures (Roche Diagnostics) and a History, ECG, Age, Risk factor and Troponin (HEART) score.

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Chest Pain Myocardial Infarction Risk Factors 52

GEMMS

JUNE 25, 2024

Understanding Cardiovascular Disease in Women Understanding cardiovascular disease in women involves recognizing unique risk factors such as hormonal changes and pregnancy-related complications, necessitating proactive care and awareness to manage and prevent heart disease effectively.

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Heart Disease Risk Factors Diet Chest Pain 52

Heart BMJ

JANUARY 29, 2024

Likelihood of CAD can be estimated based on symptoms and risk factors, and an abnormal ECG may also be helpful. Patients with moderate/high probability of CAD are usually referred for further tests including angiography (CT or invasive) or isotope-based myocardial perfusion scans.

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Exercise Chest Pain Coronary Artery Disease Angina 40

AMS Cardiology

AUGUST 15, 2023

Understanding the risk factors, recognizing the signs and seeking guidance from a cardiologist can play a significant role in preventing and treating this disease. Identifying Those at Risk for Heart Disease Heart disease describes a range of disorders that affect the cardiovascular system and the heart.

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Heart Disease Blood Pressure Risk Factors Cholesterol 52

Dr. Smith's ECG Blog

DECEMBER 13, 2019

Written by Pendell Meyers A man in his late 40s with several ACS risk factors presented with a chief complaint of chest pain. Several hours prior to presentation, while driving his truck, he started experiencing new central chest pain, without radiation, aggravating/alleviating factors, or other associated symptoms.

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Pericarditis Chest Pain Aortic Blog 52

MIBHS

JULY 31, 2024

Unhealthy Coping Mechanisms When under constant stress, many people turn to unhealthy coping mechanisms like overeating, smoking, or excessive alcohol consumption – habits that can further exacerbate cardiovascular issues by contributing to obesity, high blood pressure, and other risk factors.

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Blood Pressure Heart Attack Heart attacks Heart Rhythm 52

Dr. Smith's ECG Blog

AUGUST 26, 2019

She did not report any chest pain or pressure. She was brought to the Emergency Department and this ECG was recorded while she was still feeling nauseous but denied chest pain, shortness of breath, or other symptoms: What do you think? A male in his 60s with chest pain A Male in his 60s with Chest pain.

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