HPI
A 72-year-old man is brought to the ED after witnessed cardiac arrest. Bystander CPR was started quickly, EMS found a nonshockable rhythm, epinephrine was given, and ROSC was achieved. Forty minutes later, the patient remains comatose, and the ECG shows new septal ST elevation with new bifascicular block and reciprocal changes. This week’s ECG Weekly Workout moves beyond the tracing and into the decision that follows: should a comatose post-arrest STEMI patient still go immediately to the cath lab?
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