HPI
HPI: A 60-year-old male with a history of CAD with a pacemaker presents to the ED with acute chest pain that radiates to the left arm. Pain is worse with exertion, and associated with diaphoresis & vomiting. The following ECG is obtained:
Case ECG
Before watching this week's video, ask yourself these questions:
- Which patients with ischemic chest pain should go to the cath lab emergently?
- How useful is the ECG in diagnosing STEMI in patients with pacemakers?
- Would you activate the cath lab based on this HPI and ECG?
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