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 ?
Forty-six year old gentleman accepted in hospital transfer two days after the sudden onset
Clinical History 229
Forty-six year old gentleman accepted in hospital transfer two days after the sudden onset of severe anterior chest discomfort with radiation to both arms. The patient received urgent intravenous thrombolytic therapy. Serial cardiac enzyme serum analysis confirmed a large myocardial infarction. Medications at the time of this electrocardiogram included metoprolol, intravenous heparin and aspirin. The patient underwent a cardiac catheterization demonstrating a severe proximal right coronary artery stenosis and subsequent successful percutaneous transluminal coronary angioplasty.
Comment on this ECG ?
Forty-six year old gentleman accepted in hospital transfer two days after the sudden onset of severe anterior chest discomfort with radiation to both arms. The patient received urgent intravenous thrombolytic therapy. Serial cardiac enzyme serum analysis confirmed a large myocardial infarction. Medications at the time of this electrocardiogram included metoprolol, intravenous heparin and aspirin. The patient underwent a cardiac catheterization demonstrating a severe proximal right coronary artery stenosis and subsequent successful percutaneous transluminal coronary angioplasty.
Comment on this ECG ?
sixty-six year old man two days after the sudden onset of severe anterior chest discomfort
Clinical History 228
sixty-six year old man two days after the sudden onset of severe anterior chest discomfort with radiation to both arms. Medications at the time of this tracing included metoprolol, intravenous heparin and aspirin. The patient underwent a cardiac catheterization demonstrating a severe proximal right coronary artery stenosis and subsequent successful percutaneous transluminal coronary angioplasty.
Comment on this ECG ?
sixty-six year old man two days after the sudden onset of severe anterior chest discomfort with radiation to both arms. Medications at the time of this tracing included metoprolol, intravenous heparin and aspirin. The patient underwent a cardiac catheterization demonstrating a severe proximal right coronary artery stenosis and subsequent successful percutaneous transluminal coronary angioplasty.
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 ?
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.
Comment on this ECG ?
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