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.
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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.


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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.
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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.
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