EKG of the Week – Week 2

by Posted on

This week’s EKG of the week comes from a busy C Pod shift.  Of course, it happens right at turn over.  You’re minding your own business, talking to the attending when the nurses roll back a wheelchair with an obese, sweaty male clutching his chest.  Your attending leans over to the other attending and says, “That poor man is definitely having a heart attack.”  They get the patient on the EKG machine and they hand you the first EKG (EKG_1).

  • What is your read?  Any super concerning features? 
  • Would you call a CODE STEMI?
  • EKG 2 is obtained 2 minutes later.  What are you seeing here?
  • EKG 3 is obtained 4 minutes after that.  Ready to call a CODE STEMI yet?  Maybe?

MAKE SURE YOU HAVE READ THE EKGS BEFORE READING ANY FURTHER!!

A Code Stemi was called.  The patient was taken emergently to the Cath lab and found to have clean coronaries.  Huh?


Spoiler alert:  The patient was not having a STEMI.  What else could this have been?

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