This month we have a guest author Dr. Yonatan Yohannes!
You are busy working late one night in the ED at Janus General when… a tech hands you the ECG shown below for a patient presenting with “chest pain”.
1. What is your initial impression?
You immediately go to see the patient and find out that this is a 44 yo M PMH of HTN and CVA 1 year ago, presenting with intermittent chest pain and progressive SOB for 2 days, both exacerbated with exertion. Physical exam shows R calf tenderness to palpation.
2. Does this new information change your initial impression?
You later find a positive Troponin and anterior wall motion abnormality on bedside echo.
3. What is your impression now?
Best response by Friday 10/17 at noon will win this month’s EKG prize!
eabram
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