63 Y/O F found laying supine in women's bathroom at college. | Figure 1

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63 Y/O F found laying supine in women's bathroom at college. CAOx4 GCS 15. States that she was taking a written test and became nauseated, went to bathroom and vomited. PT states that her pain is 9/10, burning in nature, does not radiate and feels exactly like her previous MI 6 yrs ago. NTG/ASA given on scene as well as 12 lead. BP:162/90 HR:50 Sinus brady 12 lead showed Inferior MI with reciprocal changes. Transported to Cath Lab, PT had 3 stents placed in RCA and had 95% occlusion. Base order was needed to withhold any more administration NTG due to Inferior MI.

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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.

Prehospital 31 yom, obese. No admission of PMHx. Prodromal chest pain, asymptomatic on EMS arrival, refusing transport. Convince pt to be evaluated. Pt seen in ER one week prior for similar sxs. 12 lead 1 taken on scene. Repeat 12 lead 2 and 3 taken enroute on return of CP. ASA and NTG given, cardiac alert called. 12 lead repeated several more times. Pt taken to cath lab, 99% occluded LMCA. I assume some coronary spasm was present as well.

Classic EKG of inferior wall MI with reciprocal changes

A strip and a 12 lead from the same pt. 56 yr old. Crushing chest pain. Complete block with inferior MI also.

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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?