Forty-two year old gentleman who three days priorto this electrocardiogram awoke early
Clinical History 246
Forty-two year old gentleman who three days priorto this electrocardiogram awoke early in the morning with acute onset chest discomfort. He was accepted in transfer from an outside hospital for cardiac evaluation. Cardiac enzymes confirmed the presence of acute myocardial injury and a subsequent cardiac catheterization demonstrated severe multi-vessel coronary artery disease. Medications at the time of this electrocardiogram included aspirin, atenolol, atorva statin, isosorbide mononitrate and captopril.
Comment on this ECG ?
Forty-two year old gentleman who three days priorto this electrocardiogram awoke early in the morning with acute onset chest discomfort. He was accepted in transfer from an outside hospital for cardiac evaluation. Cardiac enzymes confirmed the presence of acute myocardial injury and a subsequent cardiac catheterization demonstrated severe multi-vessel coronary artery disease. Medications at the time of this electrocardiogram included aspirin, atenolol, atorva statin, isosorbide mononitrate and captopril.
Comment on this ECG ?
Fifty year old gentleman who presented to the emergency room two hours after severe chest discomfort onset.
Clinical History 181
Fifty year old gentleman who presented to the emergency room two hours after severe chest discomfort onset. The accompanying electrocardiogram was obtained and a cardiac catheterization transpired shortly thereafter demonstrating a subtotal mid right coronary artery stenosis with superimposed thrombus. A successful stent was placed to the mid right coronary artery.
Comment on this ECG ?
Fifty year old gentleman who presented to the emergency room two hours after severe chest discomfort onset. The accompanying electrocardiogram was obtained and a cardiac catheterization transpired shortly thereafter demonstrating a subtotal mid right coronary artery stenosis with superimposed thrombus. A successful stent was placed to the mid right coronary artery.
Comment on this ECG ?
Seventy year old gentleman who presented to the emergency room with a two day history of chest pressure
Clinical History 132
Seventy year old gentleman who presented to the emergency room with a two day history of chest pressure, nausea and vomiting. Serial serum cardiac enzyme analysis demonstrated evidence of acute myocardial injury. A cardiac catheterization demonstrated a 100% stenosis of the left anterior descending coronary artery and a 50% stenosis of the right coronary artery.
Comment on this ECG ?
Seventy year old gentleman who presented to the emergency room with a two day history of chest pressure, nausea and vomiting. Serial serum cardiac enzyme analysis demonstrated evidence of acute myocardial injury. A cardiac catheterization demonstrated a 100% stenosis of the left anterior descending coronary artery and a 50% stenosis of the right coronary artery.
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Sixty-one year old gentleman with a history of coronary artery disease status post coronary artery bypass graft surgery
Clinical History 59
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. The patient was stabilized with intravenous nitroglycerin and intravenous heparin and a near-future cardiac catheterization was planned.
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. The patient was stabilized with intravenous nitroglycerin and intravenous heparin and a near-future cardiac catheterization was planned.
Comment on this ECG ?
Seven-eight year old gentleman with a prior anterior myocardial infarction
Clinical History 52
Seven-eight year old gentleman with a prior anterior myocardial infarction in the setting of a 100% left anterior descending coronary artery occlusion seen in the outpatient department for routine cardiology follow-up. He experienced recent angina pectoris in the setting of urologic surgery. His cardiac medications included amlodipine.
Comment on this ECG ?
Seven-eight year old gentleman with a prior anterior myocardial infarction in the setting of a 100% left anterior descending coronary artery occlusion seen in the outpatient department for routine cardiology follow-up. He experienced recent angina pectoris in the setting of urologic surgery. His cardiac medications included amlodipine.
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