This ECG was obtained from a 35-year-old man who was complaining of crushing substernal chest pain which radiated down his left arm for the last ten minutes. He was diaphoretic, and described his pain as a “10” on the 1-10 scale. He got only modest relief from IV fentanyl.
To see the ECG taken before the procedure, go to https://www.ecgguru.com/ecg/instructor-collection-ecg-simultaneous-occlusions-lad-and-diagonal
This ECG is from a 66-year-old woman who called 911 for a complaint of chest pain for the past four hours.
This ECG is taken from an 82-year-old man who called 911 because of chest pain. He has an unspecified “cardiac” history, but we do not know the specifics.
This ECG is taken from an elderly man who has a history of complete heart block and AV sequential pacemaker. On the day of this ECG, he presented to the Emergency Department with chest pain and shortness of breath. His vital signs were stable and within normal limits. We do not have information about his treatment or outcome.
SUBTLE ST CHANGES This ECG was obtained from an 87-year-old man who was experiencing chest pain. Due to the subtle ST elevation in Leads II, III, aVF, V5, and V6, (inferior- lateral walls) the ECG was transmitted to the hospital by the EMS crew, and the cath lab was activated. The patient denied previous cardiac history.
Intermittent chest pain. This series of three ECG were taken from a 41-year-old man with a two-week history of intermittent chest pain. At the time of the first ECG, 12:05 pm, he was pain-free. We see a sinus tachycardia at 102 bpm, and has just come under the care of paramedics. There is a very subtle ST sagging and T wave inversion in Lead III, and no other ST changes. He had an uneventful trip to the hospital.
This ECG is from a 65-year-old woman who presented to the Emergency Department with a complaint of chest pain. We have no other clinical information.
This is an interesting teaching ECG on many levels. It is obtained from a man with chest pain. No other history or follow up is available.
This ECG is a good example of an inferior wall M.I. that was confirmed and treated in the cath lab.
The ST segments are elevated in Leads II, III, and aVF, but the amount of elevation may look subtle to some. When the amount of elevation seems small, what other signs can help us recognize acute ST-elevation M.I.?
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