A 61-year-old woman with PMHx of prior MI presents with acute midsternal chest pain that radiates to the left shoulder. Symptoms have been intermittent for the fast few weeks, without…
Key Points A STAT ECG is the most critical first test in patients with suspected acute coronary syndrome (ACS). It allows for early identification of acute coronary occlusion myocardial infarction…
Key Points LBBB Does Not Exclude Acute Coronary Occlusion: LBBB alters ventricular activation, leading to expected secondary ST/T abnormalities. However, acute occlusion myocardial infarction (OMI) can and must still be…
A 76-year-old man presents to the emergency department with shortness of breath, severe weakness, diaphoresis, and confusion. The following ECG is obtained on arrival:
A 70-year-old male with PMHx of HTN, HFrEF, and atrial fibrillation presents to the ED with nausea and lightheadedness. He is noted to be bradycardic on arrival. The following ECG…
A 63-year-old male presents to the ED with chest ache, near syncope, and exertional lightheadedness. The following ECG is obtained: