HPI
HPI: A 54-year-old male smoker presents to the ED with intermittent left sided chest pain. Episodes last 5 minutes at a time and are associated with mild dyspnea on exertion. There is no associated exertional worsening, diaphoresis, or vomiting. His exam is normal. The following ECG is obtained:
Case ECG
Before watching this week's video, ask yourself these questions:
- What ECG abnormalities do you notice?
- What is the most likely diagnosis?
- How would you risk stratify this patient for ACS?
- Assuming serial troponins are normal, and he is now chest pain free, what is your disposition?
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