12 lead on patient with acute shortness of breath, patient c | Figure 1

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12 lead on patient with acute shortness of breath, patient complaining of severe back pain. I don't agree with the analyzed rhythm (doesn't meet ST requirements), thoughts?

More about this case

what is this patient at risk for?

74yo male went to his local urgent care for chest pain. MD did EKG and contacted our hospital. Patient flown directly from urgent care to us. EKG above taken upon arrival to ED and showed significantly more elevation than one taken at urgent care. Pt changed, lined, and labbed as prep for cath lab. Door to cath lab time: 7 minutes. Patients trops trended s/p cath and maxed out our readings at ">200". Today they came down to 70. Sorry for the poor picture quality.

63M presents to the ED with 90 min of sudden-onset chest pain precipitated by carrying a heavy tackle box for a short distance. ASA given PTA. Patient's pain was partially relieved by NTG, exacerbated by movement. Labs drawn on arrival; troponin was negative. What do you see? Image 1: initial ECG, 1.5 hours after onset. Image 2: 2.5 hours after onset. Image 3: 6 hours after onset.

55 yr male patient c/o chest pain and SOB, Bp 115/60. He is awake and alert. what is your full diagnosis?

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?