STEMI first thing this am. Father passed last evening , pati | Figure 1

STEMI first thing this am. Father passed last evening, patient developed chest pain shortly after. Came to ER POV at 0630

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Patient in late 40s with history of cardiomyopathy attends ER with chest pain with radiation to left arm, troponin is significantly elevated. Would the patient’s known past medical history suffice to conclude this is a recurrence of the same? How is the treatment of cardiomyopathy different from acute coronary syndrome? And your thoughts on this EKG?

This was a pt that was involved in a mvc on the interstate. No traumatic injuries from the wreck. Only complains of substernal chest pain crushing and radiates to the back. Should STEMI on my prehospital ecg. Attached is the one from the er. I have done my research and want to see what others have to say about it. Has anyone else experienced this before?

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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?