Chest Pain - MedEd Library

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> Chest Pain

This is a library of medical education objects, as building blocks for educational use.

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Initial

Chest Pain Subtle High Lateral MI ECG FOAM Jesse McLaren, Pendell Meyers Two 70 year olds with chest pain, and 3 pitfalls of the STEMI paradigm Dr Smith's ECG Blog

Anterior STE Chest Pain HyperCa Short QT ECG FOAM Jesse McLaren, Steve Smith Chest pain, among other symptoms. What do you see? Dr Smith's ECG Blog

2045

Chest Pain Subtle Inferoposterior MI ECG FOAM Jesse McLaren, Pendell Meyers, et.al. A man in his 60s with acute chest pain Dr Smith's ECG Blog

Chest Pain LVH -LVH + LAD MI ECG FOAM Jesse McLaren, Steve Smith Two patients with chest pain and LVH: Neither STEMI criteria, nor Armstrong criteria, can identify occlusion or reperfusion Dr Smith's ECG Blog

Prehospital

Chest Pain Anterior MI ECG FOAM Pendell Meyers, Steve Smith De Winter's T-waves are Not a Stable ECG condition. Upright T-waves in Posterior OMI are Distinct from de Winter's waves. Dr Smith's ECG Blog

Triage - 1.5h pain

Aortic Stenosis Chest Pain Coronary Embolism LVH LVH + LAD MI NSR Recip STD STE ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Dominic Nicacio, Steve Smith A man in his 30s with chest pain and a normal bedside echo, without wall motion abnormality Dr Smith's ECG Blog

Visit 3 - first ECG

Chest Pain LVH 2° Repol Δ ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab? Dr Smith's ECG Blog

Visit 1 - first ECG

Chest Pain LVH 2° Repol Δ ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab? Dr Smith's ECG Blog

Visit 2 - first ECG

Chest Pain LVH 2° Repol Δ ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab? Dr Smith's ECG Blog

Chest Pain Concordant STD V1-3 Excess Disc. STD LBBB LBBB High Lateral MI Sinus Tach ECG FOAM Steve Smith Acute Chest pain with LBBB. What is going on? Dr Smith's ECG Blog

Next day

Chest Pain Tinv LVH 2° Repol Δ ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith Acute chest pain and a difficult ECG Dr Smith's ECG Blog

Pain resolved

Resolved Chest Pain Resolved Tinv LVH Serial ECG ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith Acute chest pain and a difficult ECG Dr Smith's ECG Blog

Chest pain 24h later

Chest Pain HyperT Pseudo-Normal T Re-occlusion Serial ECG ECG FOAM Steve Smith When Normal is only Pseudo-Normal, it can deceive the caregivers. Dr Smith's ECG Blog

Pain free again

Resolved Chest Pain Wellens A Serial ECG ECG FOAM Steve Smith When Normal is only Pseudo-Normal, it can deceive the caregivers. Dr Smith's ECG Blog

Pain recurred 8/10

Chest Pain HyperT Pseudo-Normal T Serial ECG ECG FOAM Steve Smith When Normal is only Pseudo-Normal, it can deceive the caregivers. Dr Smith's ECG Blog

Pain resolved

Up-Down T Resolved Chest Pain Wellens A Serial ECG ECG FOAM Steve Smith When Normal is only Pseudo-Normal, it can deceive the caregivers. Dr Smith's ECG Blog

Pain resolving 3/10

Resolved Chest Pain Dynamic Resolved HyperT Serial ECG ECG FOAM Steve Smith When Normal is only Pseudo-Normal, it can deceive the caregivers. Dr Smith's ECG Blog

Initial - pain 7/10

Chest Pain HyperT ECG FOAM Steve Smith When Normal is only Pseudo-Normal, it can deceive the caregivers. Dr Smith's ECG Blog

Prehospital

Chest Pain Dynamic ECG FOAM Steve Smith All data suggest unstable angina, but the angiogram is normal. Ken Grauer on stress testing. Dr Smith's ECG Blog

Recurrent pain 1h later

Chest Pain Dynamic Serial ECG Resolved STD ECG FOAM Steve Smith All data suggest unstable angina, but the angiogram is normal. Ken Grauer on stress testing. Dr Smith's ECG Blog

Pain Free

Abdo Pain Baseline Artefact Resolved Chest Pain HTN Normal Angio STD ECG FOAM Steve Smith All data suggest unstable angina, but the angiogram is normal. Ken Grauer on stress testing. Dr Smith's ECG Blog

Initial

Chest Pain Hyperacute T MI - Bulky ECG FOAM Steve Smith, Steven Souchtchenko The ECG must be recorded at the right time, or the Occlusion (OMI) will be missed. Dr Smith's ECG Blog

Triage

Chest Pain De Winter T MI HyperT STD Upsloping ECG FOAM Pendell Meyers Instant easy save if you understand OMI, but incredibly dangerous if you only know STEMI. Readers of this blog will instantly understand this and save lives! Dr Smith's ECG Blog

Worsening pain 9/10

Chest Pain Pseudo-Normal T Re-occlusion Serial ECG Subtle Inferoposterior MI ECG FOAM Pendell Meyers, Steve Smith A Middle Aged Male diagnosed with Gastroesophageal Reflux Dr Smith's ECG Blog

Several hours earlier

Chest Pain Sinus Brady Subtle Inferoposterior MI ECG FOAM Pendell Meyers, Steve Smith A Middle Aged Male diagnosed with Gastroesophageal Reflux Dr Smith's ECG Blog

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