A man in his 40s with RUQ abdominal pain

Conclusion:In hemodynamically stable patients with chest pain, sinus tachycardia aids in the identification of patients unlikely to have type I MI, especially in those with HR greater than 120 bpm.===================================MY Comment by KEN GRAUER, MD (4/28/2020):===================================Insightful case presented by Drs. Goss and Meyers highlighting the importance of recognizing the ECG signs of acute PE. I focus my comments on further dissecting some of these " tell-tale " ECG features.The " theme " of today ' s case was "pattern recognition". Like the ECG diagnosis of RVH (Right Ventricular Hypertrophy) — ECG recognition of the " pattern " suggestive of acute PE is not made on the basis of any single ECG finding.Instead — in a patient with a History and Exam potentially consistent with the diagnosis — it is the constellation of ECG findings that when present, strongly suggests acute PE until proven otherwise. As per Drs. Goss and Meyers — the ECG pattern of acute PE is one that we need to recognize within seconds of seeing it!For clarity — I ' ve reproduced the initial ECG in today ' s case in Figure-1. I ' ve added at the bottom of this Figure the Table that I showed in My Comment from the March 28, 2022 post of Dr. Smith ' s ECG Blog.Figure-1: Assessment of the initial&nb...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs