12 lead from earlier 2 lead strip | Figure 1

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12 lead from earlier 2 lead strip

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What is your interpretation of this rhythm? The 12 lead is on arrival and the 5 lead is after a dose of Atropine.

Interesting 12 lead. I don't normally see lead II being negative and wide unless being paced or VT. Clearly there is a RBBB but cannot grip lead II characteristics. Thoughts?

FU for 43 yo male with AMI/STEMI. The first 12-lead shows ST-elevations septal, anterior & lateral leads. The 2nd 12-lead was taken after Stent placements in LAD & LCx and confirms Anteroseptal Infarct. The last 12-lead was taken the day after reperfusion. Apologies for the poor Dx quality of the last EKG.

II lead on top V lead on bottom. Anything to explain this axis shift?

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?