Dr. Smith's ECG Blog

JULY 3, 2018

After admission he undergoes another ECG, though it is unclear from documentation whether there was a change in his chest pain. Remember, pericarditis is the thing you say and write down when youre actively trying to miss an OMI. Remember, pericarditis is the thing you say and write down when youre actively trying to miss an OMI.

Pericarditis 52

Pericarditis Chest Pain Stents Stent 52

All About Cardiovascular System and Disorders

APRIL 25, 2024

Tuberculous pericardial effusion can be documented by aspirating the fluid and culturing the fluid for the presence of the bacteria causing tuberculosis (Mycobacterium tuberculosis). There are other tests also for tuberculous pericarditis, but they not as sure as growing the bacterium in culture.

Pericarditis 40

Pericarditis Cancer Blood Pressure Heart Valves 40

Dr. Smith's ECG Blog

SEPTEMBER 9, 2024

The patient was thought to have low likelihood of ACS, and cardiology recommended repeat troponin, urine drug testing, and echocardiogram. Bedside echocardiogram showed hypokinesis of the mid to distal anterior wall and apex. The operator documented thoughtful consideration of risks and benefits of stent placement.

Plaque 65

Plaque Stents Stent Chest Pain 65

Dr. Smith's ECG Blog

DECEMBER 11, 2023

Triage documented a complaint of left shoulder pain. Recall from this post referencing this study that "reciprocal STD in aVL is highly sensitive for inferior OMI (far better than STEMI criteria) and excludes pericarditis, but is not specific for OMI." The patient presented to triage at around 10 PM. link] Bischof, J. Worrall, C.,

Myocardial Infarction 122

Myocardial Infarction Chest Pain STEMI Blood Pressure 122

Dr. Smith's ECG Blog

JUNE 17, 2024

Echocardiogram showed severe RV dilation with McConnell’s sign and an elevated RVSP. Dyspnea, Chest pain, Tachypneic, Ill appearing: Bedside Cardiac Echo gives the Diagnosis 31 Year Old Male with RUQ Pain and a History of Pericarditis. The patient was upgraded to the ICU for closer monitoring. What is the Diagnosis?

Chest Pain 138

Chest Pain Embolism Pulmonary Tachycardia 138

Dr. Smith's ECG Blog

FEBRUARY 16, 2025

The emergency medicine physician documented, "His initial EKG is riddled with artifact and difficult to interpret but does not look like a STEMI." Several hours passed with no documentation as to the reason for delay. Echocardiogram was finally performed five hours after the first diagnostic ECG. Here is the wall motion diagram.

STEMI 71

STEMI Pericarditis Chest Pain Echocardiogram 71