A 58yom with multiple myeloma came to hospital for his secon | Figure 1

A 58yom with multiple myeloma came to hospital for his second chemotherapy. This was a regular EKG test before the chemotherapy. He had mild uncomfortable about his upper abdomen in these two days and denied chest pain, palpitation and dyspnea. He had no HTN, HLP, DM, smoke and family history. The Cr value was 138umol/L after his first chemotherapy one month ago. What do u think about this EKG change?

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68 year old male who comes to the ER with history of substernal chest pain, oppressive of 2 hours of evolution associated with SOB. 20 years ago he had an MI with cardiac arrest. (Pic 1) First EKG when he arrive at the ER, (Pic 2 and 3) EKG 1 hour after the first. What do you see? What would be the Dx? What treatment would you give?. I will post this answers later.

28 y-o male. Heroine user in frank withdrawal. An EKG demonstrated STT elevation in V1, V2. Mildly elevated trops. The patient had a normal cath. I was called to see the patient as a consult. This is a POCUS in systole.

Make in early 50s presenting with chest pain, intermittent, central, pressurizing, experienced for 5 days, serial EKGs figures 1-4, by the time ECG 4 was acquired Trop had risen to 51, the next troponin (25K+) is 24 hours later. If you did not know the patient, at which point would you get worried/suspicious about EKG?

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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?