83 yr old female complaining of 9/10 central chest pain radi | Figure 1

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Case Overview

83 yr old female complaining of 9/10 central chest pain radiating to right shoulder with nausea and vomiting. Pt stated the pain had started going down left arm prior to arrival on scene. Pt had an ashen appearance and looked extremely ill. 1st picture is initial 12 lead, 2nd is 15 lead immediately following, and 3rd is rhythm strip sometime en route to ER. Pt went from ER to cath lab.

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