Chest pain

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See also: Cardiovascular symptoms

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ECG Library (482)

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In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Hyperacute T waves Lateral ST elevation Reciprocal ST depression Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
The ECG was correct. The angiogram was not.

This ECG is from a man in his 70s who presented with chest pain and nausea on a background of previous MI.

This ECG shows sinus rhythm with PVCs and subtle ST elevation in I, aVL and V2 and reciprocal ST depression in III and aVF. Angiogram was negative. The most likely cause was a brief LAD occlusion that spontaneously reperfused.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead ST elevation in aVR ST elevation in V1 Widespread ST depression Left main occlusion Dr Smith's ECG Blog CC BY-NC
How does acute left main occlusion present on the ECG?

This ECG is from a woman in her 50s who presented with 3 days of intermittent chest pain that became worse on the day of presentation, with diaphoresis and radiation to the left arm, as well as abdominal pain.

This ECG shows widespread ST depression with ST elevation in aVR and V1-2, due to a 100% left main occlusion.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Anterior ST elevation Bifascicular block LAFB RBBB Multi-vessel disease Dr Smith's ECG Blog CC BY-NC
What is the Diagnosis in this 70-something with Chest Pain?

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

This ECG shows RBBB, LAFB and ST elevation V2-4. The troponin was very high due to a very large infarct. The cause was 3 vessel disease. The rhythm is also grouped, possibly bigeminy.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Inverted T waves Myocarditis Dr Smith's ECG Blog CC BY-NC
What does this ECG with significant ST Elevation represent?

This ECG is from a man in his 30s who presented with a week of chest pain.

This ECG shows T wave inversion in V5-6 with J point notching and a short QT interval. Echo showed global hypokinesis and mild-mod systolic dysfunction. Troponin was elevated. Angiogram was normal. The diagnosis was myocarditis.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Syncope 12-Lead Anterior ST elevation Pathological Q waves Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
A man in his 40s with chest pain and syncope after cocaine use

This ECG is from a man in his 40s who presented with chest pain and syncope after cocaine use. He had pain at the time of this ECG.

This ECG shows ST elevation in V1-5 with Q waves anterior and inferior. Brugada-like morphology in V1. The cause was an anterior MI.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Anterior ST elevation Hyperacute T waves Lateral ST elevation Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
A Text Message in the Middle of the night. Do you give thrombolytics?

This ECG is from a man in his 60s who presented with chest pain.

This ECG shows subtle ST elevation V3-6 with hyperacute T waves in V4. The cause was an acute anterior MI.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Anterior ST depression Hyperacute T waves Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
A 40 year old man with chest pain since last night

This ECG is from a man in his 40s who presented with chest pain since the previous evening, associated with vomiting and diaphoresis. He had recently stopped smoking.

This ECG shows subtle disproportionately tall T waves in V2-V3 and ST depression in V3-6 with slight ST elevation in V1. The cause was a 100% proximal LAD thrombotic occlusion.

In the ECGquest archives, this ECG has been tagged with: - Cardiac arrest Chest pain Dyspnoea 12-Lead Tombstone ST elevation Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
Would you have given thrombolytics to this NSTEMI patient? Repeat post arrest and ROSC

This ECG is from a middle aged male who presented with chest pain and dyspnoea. This ECG was recorded after a witnessed VF arrest, tenecteplase and multiple shocks.

This ECG shows massive anterior ST elevation due to acute anterolateral MI.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea 12-Lead De Winter T waves Hyperacute T waves Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
Would you have given thrombolytics to this NSTEMI patient?

This ECG is from a middle aged male who presented with chest pain and dyspnoea.

This ECG shows hyperacute T waves V2-6 (de Winter in V4-6), I and aVL, due to acute anterolateral MI.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Anterior ST depression Inferior ST elevation Pathological Q waves Acute Inferior MI Acute Posterior MI Multi-vessel disease Dr Smith's ECG Blog CC BY-NC
Acute MI, pain onset 24-48 hours ago. Should the patient go for emergent angiogram/PCI?

This ECG is from a man in his 60s who presented with chest pain for 48h with diaphoresis.

This ECG shows inferior ST elevation with reciprocal depression in aVL and I. ST depression in V2-4. Deep Q waves inferior leads and tall R waves V1-3. The cause was a completed infarction with 2 likely culprits (RCA and circumflex).

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