ECG Quest > Clinical Problems > Other Problems > Abdominal pain

Abdominal pain

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In the ECGquest archives, this ECG has been tagged with: - Abdominal pain Discordant ST changes Wide QRS ST changes with LBBB 12-Lead Dr Smith's ECG Blog CC BY-NC
Following Criteria Exactly, even the Modified Sgarbossa Criteria, Can Be Deadly

This ECG is from a man in his 70s who presented with epigastric pain.

This ECG shows LBBB with discordant ST changes that do not quite meet Modified-Sgarbossa criteria. A repeat ECG showed evolution to excessive discordance. The patient went into VF shortly after and died.

In the ECGquest archives, this ECG has been tagged with: - Abdominal pain Excessive discordant ST elevation Wide QRS Positive Sgarbossa criteria 12-Lead Dr Smith's ECG Blog CC BY-NC
Following Criteria Exactly, even the Modified Sgarbossa Criteria, Can Be Deadly – ECG 2

This ECG is from a man in his 70s who presented with epigastric pain.

This ECG shows These discordant ST changes are excessive and do meet Modified-Sgarbossa criteria. This was missed. The patient went into VF shortly after and died.

In the ECGquest archives, this ECG has been tagged with: - Abdominal pain Chest pain Reciprocal ST depression ST elevation in aVL Acute Lateral MI Acute Posterior MI 12-Lead Dr Smith's ECG Blog CC BY-NC
Epigastric pain radiating to the chest for 18 hours. ECG makes the Dx. Troponin makes the Dx. CT makes the Dx!

This ECG is from a middle aged man who presented with 18 hours of epigastric pain radiating to the chest.

This ECG shows ST elevation in aVL with reciprocal ST depression in inferior leads and V3-4, consistent with high lateral MI and posterior involvement.

In the ECGquest archives, this ECG has been tagged with: - Abdominal pain Chest pain Anterior ST elevation Normal ST elevation 12-Lead Dr Smith's ECG Blog CC BY-NC
Saddleback ST Elevation. Is it STEMI? Is it type II Brugada? Repeat ECG.

This ECG is from a man in his 50s who presented with epigastric and chest pain.

This ECG shows normal variant ST elevation.

In the ECGquest archives, this ECG has been tagged with: - Abdominal pain Discordant ST changes Tall QRS Wide QRS LBBB 12-Lead ECG of the Week CC-BY-NC-SA
ECG of the Week – 5th November 2018 – Interpretation

This ECG is from a man in his 70s who presented with epigastric pain on a background of hypertension.

This ECG shows LBBB and occasional PVCs with discordant changes that do not meet Sgarbossa criteria. The patient self-discharged against advice before an echo could be completed for possible LVH.

In the ECGquest archives, this ECG has been tagged with: - Abdominal pain Normal Axis Normal rate Regular Anterior ST elevation Inferior ST elevation Inverted T waves Narrow QRS Normal PR Widespread ST elevation Takotsubo cardiomyopathy 12-Lead ECG of the Week Dr John Larkin CC-BY-NC-SA
ECG of the Week – 15th January 2018 – Interpretation

This ECG is from a woman in her 60s presented with a 3 day history of colicky right upper quadrant abdominal pain. She had no known past medical history.