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?