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. Given her risk factors (HTN, HLD, ESRD from diabetes) I decided to obtain a broad cardiac workup for the patient: serial ECGs, labs, serial troponins, CXR and bedside cardiac ultrasound.

Chest Pain 40

Chest Pain Ultrasound Risk Factors STEMI 40

Dr. Smith's ECG Blog

DECEMBER 19, 2023

link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. His echocardiogram showed normal wall motion. This is written by Willy Frick, an amazing cardiology fellow in St. Fortunately, that is exactly what happened.

Plaque 126

Plaque Angina Blog Stents 126

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

Case submitted and written by Mazen El-Baba MD, with edits from Jesse McLaren and edits/comments by Smith and Grauer A 90-year old with a past medical history of atrial fibrillation, type-2 diabetes, hypertension, dyslipidemia, presented with acute onset chest/epigastric pain, nausea, and vomiting. BP was 110 and oxygen saturation was normal.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Sanjay Gupta

DECEMBER 19, 2022

It is also very important to mention a history of high blood pressure, diabetes, elevated cholesterol, family history of premature heart disease, stroke or even sudden death. Ultrasound – this is easily available, very portable and usually a very low risk investigation. There are a variety of ways to look at these.

Stroke 52

Stroke Strokes Blood Clot AFIB 52

Dr. Smith's ECG Blog

JANUARY 15, 2024

A patient in their 40s with type 1 diabetes mellitus and hyperlipidemia presented to the emergency department with 5 days of “flu-like” illness. A bedside ultrasound should be done to assess volume and other etiologies of tachycardia, but if no cause of type 2 MI is found, the cath lab should be activated NOW. Edits by Willy Frick.

Chest Pain 63

Chest Pain Blog Arrhythmia Critical Care 63

Frontiers in Cardiovascular Medicine

NOVEMBER 28, 2024

No previous history of hypertension or diabetes. Transthoracic echocardiogram, bilateral carotid Doppler ultrasound, and electrocardiogram were normal. There was no abnormality in physical examination. Cranial magnetic resonance imaging and magnetic resonance angiography showed no abnormalities.

Cardiac Arrest 45

Cardiac Arrest Sudden Cardiac Death Electrocardiogram Echocardiogram 45