thoughts? Labs: Na 136, K 4.3, mag 1.9, others WNL | Figure 1

thoughts? Labs: Na 136, K 4.3, mag 1.9, others WNL

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EMS responds for a 12 year old female complaining of a rapid heart beat. She reports that she has been having multiple paraxysmal tachycardia episodes for 2 weeks with heart rate 120-130s. The episodes are accompanied by chest pressure and SOB. Cardiologist has ordered echo, and 30 day halter monitor. Echo and previous EKGs were normal. What phenomenon do you see on this rhythm strip, and what concerns do you have?

23 yoM 2/12 Hx of intermittent L) sided chest pain, sharp in nature and worse on positioning. Nil pmhx and or cardiac issues. Thoughts?

61 yo with SOB, elevated #Troponins of 0.69.

patient with this rhythm for estimated 15hrs. Adenosine, amioderone, lidocaine, digoxin and cardioverted X3 with no change. Moment wife walked in he converted to sinus bradycardia.

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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?