pulmonary embolism Archives - Page 3 of 4

1 Min Read

onDecember 13, 2017

A 30-something woman with chest pain and h/o pulmonary hypertension due to chronic pulmonary emboli

A 30-something woman with known history of pulmonary hypertension due to chronic pulmonary emboli presented with 12 hours of substernal chest…

4 Min Read

Steve Smith

onNovember 22, 2017

A 30-something with 8 hours of chest pain and an elevated troponin

I received this email: “Hi Steve, “I’m curious what you thought of these ECGs. They were on a 34 y/o with constant CP…

4 Min Read

Steve Smith

onDecember 15, 2015

Syncope, Shock, AV block, Large RV, “Anterior” ST Elevation….

An elderly male had a syncopal episode. 911 was called. When medics arrived, the patient was alert and following commands.…

pulmonary embolism

1 Min Read

Steve Smith

onMarch 28, 2014

Dyspnea, Chest pain, Tachypneic, Ill appearing: Bedside Cardiac Echo gives the Diagnosis

A male in his 60s presented complaining of dysnpea and chest pain. He was tachypneic and ill appearing. I was texted this ECG. The…

9 Min Read

Steve Smith

onDecember 20, 2013

31 Year Old Male with RUQ Pain and a History of Pericarditis. Submitted by a Med Student, with Great Commentary on Bias!

This was submitted by a fantastic medical student who wished to remain anonymous: (Update on June 2, 2020): I can now say that is was…

2 Min Read

Steve Smith

onMarch 8, 2013

Chest pain, SOB, Precordial T-wave inversions, and positive troponin. What is the Diagnosis?

A male in his 60’s with med h/o only significant for HTN and hyperlipidemia presented for CP and SOB. On the day prior,…

4 Min Read

Steve Smith

onApril 24, 2012

Cardiac Ultrasound may be a surprisingly easy way to help make the diagnosis

This case was contributed by Vince DiGiulio. A 63 year old woman who was otherwise healthy had a syncopal episode. She had no CP, no SOB, but…

1 Min Read

Steve Smith

onApril 2, 2011

Answer: pulmonary embolism. Now another, with ultrasound….

This 18 year old presented with syncope and tachycardia. Similar to the last case (the “quiz”), there is sinus tachycardia with…

1 Min Read

Steve Smith

onMarch 30, 2011

This is a quiz. The ECG is nearly pathognomonic. Answer at bottom.

A 38 year old with chest pain and SOB: The answer can be found here (a different example of the same pathology, with explanation):…

2 Min Read

Steve Smith

onMarch 4, 2011

Chest Pain, SOB, anterior T-wave inversion, positive troponin

This 38 yo male presented with chest pain with activity for 4 days, worse on the day of presentation, and associated with SOB. He has a…

What are You Looking For?

Dr. Smith's ECG Blog

pulmonary embolism

A 30-something woman with chest pain and h/o pulmonary hypertension due to chronic pulmonary emboli

A 30-something with 8 hours of chest pain and an elevated troponin

Syncope, Shock, AV block, Large RV, “Anterior” ST Elevation….

Dyspnea, Chest pain, Tachypneic, Ill appearing: Bedside Cardiac Echo gives the Diagnosis

31 Year Old Male with RUQ Pain and a History of Pericarditis. Submitted by a Med Student, with Great Commentary on Bias!

Chest pain, SOB, Precordial T-wave inversions, and positive troponin. What is the Diagnosis?

Cardiac Ultrasound may be a surprisingly easy way to help make the diagnosis

Answer: pulmonary embolism. Now another, with ultrasound….

This is a quiz. The ECG is nearly pathognomonic. Answer at bottom.

Chest Pain, SOB, anterior T-wave inversion, positive troponin