Triage: chest pain for 1 hour, no cardiac history, has CKD
HPI: Gentleman in his early 70’s presents with chest pain that started about an hour ago around 11 AM. Pain does not radiate but both of his hands feel numb and tingly. He is short of breath. No nausea or vomiting. Has never had the symptoms before. Does see a cardiologist preventatively but denies cardiac history
Vital signs: normal
Exam: Physical exam is normal
An ECG is done
Computer Read: SINUS BRADYCARDIA, NONSPECIFIC ST & T-WAVE ABNORMALITY
What is the most likely cause of ECG findings in this patient?
- A) ACS
- B) Electrolyte issue
- C) PE
- D) Medication issue
SCROLL DOWN FOR THE EKG ANALYSIS & 1-MINUTE CONSULT
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My ECG interpretation: ST depression in V2-V4 concerning for posterior STEMI. ST depression in I and aVL also concerning.
QUIZ ANSWER:
Outcome: The circumflex had a proximal 100 stent occlusion. Labs came back after cath. Troponin 20 then 1300 after cath
Emergency Medicine 1-Minute Consult: Click here and scroll
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