This ECG was taken from a 78-year-old man who was experiencing chest pressure in the morning, after having left shoulder pain since the night before. He has a history of hypertension and hypercholesterolemia, and has an implanted pacemaker.
This ECG is taken from an elderly woman with chest pressure radiating to left shoulder for 30 minutes. She also complained of nausea with vomiting. Her family offered a history of unspecified cardiac disease, hypertension, hypercholesterolemia, and dementia.
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.
This patient is a 50-year-old man with a history of epilepsy and early dementia. He had a VP shunt placed in the hospital and was then discharged home. He became extremely weak, which was not characteristic of him, and 911 was called. He was transported to the hospital uneventfully. He was found to be afebrile.
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.
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.
We have no clinical information about this patient, except that he was complaining of chest pain, and was initially treated by prehospital paramedics.
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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