Seventy-nine year old woman who five days prior to this electrocardiogram experienced acute onset chest discomfort
Clinical History 37
Seventy-nine year old woman who five days prior to this electrocardiogram experienced acute onset chest discomfort and an electrocardiogram consistent with an acute inferior myocardial infarction. Following her myocardial infarction convalescence a cardiac catheterization demonstrated severe three-vessel coronary artery disease. This electrocardiogram was obtained prior to anticipated coronary artery bypass graft surgery. Left ventriculography at the time of her cardiac catheterization demonstrated proximal and mid inferior wall akinesis. Her medications included metoprolol, intravenous heparin, intravenous nitroglycerin andtemazepam.
Comment on this ECG ?
Seventy-nine year old woman who five days prior to this electrocardiogram experienced acute onset chest discomfort and an electrocardiogram consistent with an acute inferior myocardial infarction. Following her myocardial infarction convalescence a cardiac catheterization demonstrated severe three-vessel coronary artery disease. This electrocardiogram was obtained prior to anticipated coronary artery bypass graft surgery. Left ventriculography at the time of her cardiac catheterization demonstrated proximal and mid inferior wall akinesis. Her medications included metoprolol, intravenous heparin, intravenous nitroglycerin andtemazepam.
Clinical History Seventy-two year old woman who presented to the hospital after three hours of severe epigastric pressure
Clinical History 34
Seventy-two year old woman who presented to the hospital after three hours of severe epigastric pressure with associated vomiting, nausea and profuse diaphoresis. Serial cardiac enzymes documented acute myocardial injury. Medications at the time of this electrocardiogram included phenytoin, glyburide, ranitidine, lisinopril. intravenous heparin and intravenous nitroglycerin.
Comment on this ECG ?
Seventy-two year old woman who presented to the hospital after three hours of severe epigastric pressure with associated vomiting, nausea and profuse diaphoresis. Serial cardiac enzymes documented acute myocardial injury. Medications at the time of this electrocardiogram included phenytoin, glyburide, ranitidine, lisinopril. intravenous heparin and intravenous nitroglycerin.
Comment on this ECG ?
Seventy-four year old woman who was accepted in hospital transfer after presenting earlier
Clinical History 237
Seventy-four year old woman who was accepted in hospital transfer after presenting earlier the same day with acute onset chest discomfort consistent with acute myocardial injury. Serial cardiac enzymes documented an acute myocardial infarction She continued to demonstrate post-infarction angina and was transferred for cardiac catheterization. Her cardiac catheterization demonstrated severe right coronary artery disease and a successful angioplasty was performed.
Comment on this ECG ?
Seventy-four year old woman who was accepted in hospital transfer after presenting earlier the same day with acute onset chest discomfort consistent with acute myocardial injury. Serial cardiac enzymes documented an acute myocardial infarction She continued to demonstrate post-infarction angina and was transferred for cardiac catheterization. Her cardiac catheterization demonstrated severe right coronary artery disease and a successful angioplasty was performed.
Comment on this ECG ?
Sixty-eight year old gentleman with a history of coronary artery disease status post coronary artery bypass graft surgery
Clinical History 221
Sixty-eight year old gentleman with a history of coronary artery disease status post coronary artery bypass graft surgery four years prior to this electrocardiogram who presents with a one hour history of acute chest discomfort. He was stabilized with intravenous nitroglycerin and intravenous heparin.
Comment on this ECG ?
Sixty-eight year old gentleman with a history of coronary artery disease status post coronary artery bypass graft surgery four years prior to this electrocardiogram who presents with a one hour history of acute chest discomfort. He was stabilized with intravenous nitroglycerin and intravenous heparin.
Comment on this ECG ?
Sixty-five year old woman with a recent myocardial infarction of unknown location accepted
Clinical History 219
Sixty-five year old woman with a recent myocardial infarction of unknown location accepted in transfer from an outside hospital with symptoms of angina pectoris. A cardiac catheterization demonstrated an 80% proximal left anterior descending coronary artery stenosis and a 90% mid right coronary artery stenosis. The patient was subsequently referred for coronary artery bypass graft surgery.
Comment on this ECG ?
Sixty-five year old woman with a recent myocardial infarction of unknown location accepted in transfer from an outside hospital with symptoms of angina pectoris. A cardiac catheterization demonstrated an 80% proximal left anterior descending coronary artery stenosis and a 90% mid right coronary artery stenosis. The patient was subsequently referred for coronary artery bypass graft surgery.
Comment on this ECG ?
Seventy-one year old woman with acute onset chest discomfort of two hours duration who presented
Clinical History 178
Seventy-one year old woman with acute onset chest discomfort of two hours duration who presented to the emergency room The above electrocardiogram was obtained. An urgent cardiac catheterization demonstrated a 90% proximal right coronary artery obstruction with thrombus. Successful acute percutaneous transluminal coronary angioplasty was performed without complication.
Comment on this ECG ?
Seventy-one year old woman with acute onset chest discomfort of two hours duration who presented to the emergency room The above electrocardiogram was obtained. An urgent cardiac catheterization demonstrated a 90% proximal right coronary artery obstruction with thrombus. Successful acute percutaneous transluminal coronary angioplasty was performed without complication.
Comment on this ECG ?
Seventy-seven year old woman admitted to the hospital with an acute inferior myocardial infarction
Clinical History 163
Seventy-seven year old woman admitted to the hospital with an acute inferior myocardial infarction who is now referred for coronary artery bypass graft surgery. An echocardiogram confirmed inferoposterior akinesis. Her medications included aspirin, intravenous heparin, intravenous nitroglycerin and metoprolol.
Comment on this ECG ?
Seventy-seven year old woman admitted to the hospital with an acute inferior myocardial infarction who is now referred for coronary artery bypass graft surgery. An echocardiogram confirmed inferoposterior akinesis. Her medications included aspirin, intravenous heparin, intravenous nitroglycerin and metoprolol.
Comment on this ECG ?
Seventy-seven year old woman who was accepted in hospital transfer after suffering
Clinical History 135
Seventy-seven year old woman who was accepted in hospital transfer after suffering an acute inferior myocardial infarction ten days priorto this electrocardiogram. Co-morbidities include hypertension and a prior cerebral aneurysm repair. Her medications included nifedipine, triamterene/hydrochlorothiazide and aspirin.
Comment on this ECG ?
Seventy-seven year old woman who was accepted in hospital transfer after suffering an acute inferior myocardial infarction ten days priorto this electrocardiogram. Co-morbidities include hypertension and a prior cerebral aneurysm repair. Her medications included nifedipine, triamterene/hydrochlorothiazide and aspirin.
Comment on this ECG ?
Sixty-four year old gentleman who presented to an outside emergency room
Clinical History 120
Sixty-four year old gentleman who presented to an outside emergency room with an acute onset chest discomfort syndrome accepted in urgent hospital transfer for cardiac catheterization. The patient received immediate thrombolytic therapy. A cardiac catheterization demonstrated a 100% distal occlusion of a saphenous vein graft to the right coronary artery which was successfully angioplastied.
Comment on this ECG ?
Sixty-four year old gentleman who presented to an outside emergency room with an acute onset chest discomfort syndrome accepted in urgent hospital transfer for cardiac catheterization. The patient received immediate thrombolytic therapy. A cardiac catheterization demonstrated a 100% distal occlusion of a saphenous vein graft to the right coronary artery which was successfully angioplastied.
Comment on this ECG ?
Seventy-four year old gentleman who presents to the hospital with sudden onset anterior chest discomfort
Clinical History 114
Seventy-four year old gentleman who presents to the hospital with sudden onset anterior chest discomfort and the accompanying electrocardiogram. An urgent cardiac catheterization was followed by a percutaneous transluminal coronary angioplasty to the right coronary artery as acute thrombus was present. Medications at the time of this electrocardiogram included intravenous heparin, intravenous nitroglycerin, aspirin and metoprolol.
Comment on this ECG ?
Seventy-four year old gentleman who presents to the hospital with sudden onset anterior chest discomfort and the accompanying electrocardiogram. An urgent cardiac catheterization was followed by a percutaneous transluminal coronary angioplasty to the right coronary artery as acute thrombus was present. Medications at the time of this electrocardiogram included intravenous heparin, intravenous nitroglycerin, aspirin and metoprolol.
Comment on this ECG ?
Sixty-four year old gentleman with an acute onset chest discomfort syndrome
Clinical History 66
Sixty-four year old gentleman with an acute onset chest discomfort syndrome of two hours duration. Co-morbid conditions include hypertension, hyperlipidemia and extensive past tobacco use. He has no known prior cardiac history.
Comment on this ECG ?
Sixty-four year old gentleman with an acute onset chest discomfort syndrome of two hours duration. Co-morbid conditions include hypertension, hyperlipidemia and extensive past tobacco use. He has no known prior cardiac history.
Comment on this ECG ?
Fifty-four year old gentleman who was urgently transferred from an outside medical center
Clinical History 51
Fifty-four year old gentleman who was urgently transferred from an outside medical center with a two hour history of acute chest discomfort. He received intravenous thrombolytic therapy prior to hospital transfer.
Comment on this ECG ?
Fifty-four year old gentleman who was urgently transferred from an outside medical center with a two hour history of acute chest discomfort. He received intravenous thrombolytic therapy prior to hospital transfer.
Comment on this ECG ?
Seventy-nine year old woman who five days priorto this electrocardiogram experienced acute onset chest discomfort
Clinical History 37
Seventy-nine year old woman who five days priorto this electrocardiogram experienced acute onset chest discomfort and an electrocardiogram consistent with an acute inferior myocardial infarction. Following her myocardial infarction convalescence a cardiac catheterization demonstrated severe three-vessel coronary artery disease. This electrocardiogram was obtained prior to anticipated coronary artery bypass graft surgety. Left ventriculography at the time of her cardiac catheterization demonstrated proximal and mid inferior wall akinesis. Her medications included metoprolol, intravenous heparin, intravenous nitroglycerin andtemazepam.
Comment on this ECG ?
Seventy-nine year old woman who five days priorto this electrocardiogram experienced acute onset chest discomfort and an electrocardiogram consistent with an acute inferior myocardial infarction. Following her myocardial infarction convalescence a cardiac catheterization demonstrated severe three-vessel coronary artery disease. This electrocardiogram was obtained prior to anticipated coronary artery bypass graft surgety. Left ventriculography at the time of her cardiac catheterization demonstrated proximal and mid inferior wall akinesis. Her medications included metoprolol, intravenous heparin, intravenous nitroglycerin andtemazepam.
Comment on this ECG ?
Seventy-two year old woman who presented to the hospital after three hours of severe epigastric pressure
Clinical History 34
Seventy-two year old woman who presented to the hospital after three hours of severe epigastric pressure with associated vomiting, nausea and profuse diaphoresis. Serial cardiac enzymes documented acute myocardial injury. Medications at the time of this electrocardiogram included phenytoin, glyburide, ranitidine, lisinopril, intravenous heparin and intravenous nitroglycerin.
Comment on this ECG ?
Seventy-two year old woman who presented to the hospital after three hours of severe epigastric pressure with associated vomiting, nausea and profuse diaphoresis. Serial cardiac enzymes documented acute myocardial injury. Medications at the time of this electrocardiogram included phenytoin, glyburide, ranitidine, lisinopril, intravenous heparin and intravenous nitroglycerin.
Comment on this ECG ?
Forty-five year old gentleman who presented to an outside emergency room
Clinical History 33
Forty-five year old gentleman who presented to an outside emergency room with a one-half hour history of acute chest discomfort radiating to both shoulders and hands. The patient underwent urgent cardiac catheterization which demonstrated a 100% proximal right coronary artery occlusion with superimposed thrombus. The patient underwent successful percutaneous transluminal coronary angioplasty. Cardiac enzymes were positive for acute myocardial injury.
Comment on this ECG ?
Forty-five year old gentleman who presented to an outside emergency room with a one-half hour history of acute chest discomfort radiating to both shoulders and hands. The patient underwent urgent cardiac catheterization which demonstrated a 100% proximal right coronary artery occlusion with superimposed thrombus. The patient underwent successful percutaneous transluminal coronary angioplasty. Cardiac enzymes were positive for acute myocardial injury.
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