60ish yom pt working outside. Compaints of CP, what do yall | Figure 1

60ish yom pt working outside. Compaints of CP, what do yall think?..of course pt was rushed code 3 to ER

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CT 30 YOF who presented to GP with 6/10 central chest pressure radiating to back with associated tingling in left arm. O/A Pt GCS 15 calm and alert. GP had administered 300mg PO Aspirin. O/E Pain as above, nil diaphoresis, nil nausea, nil SOB. 12 lead as above. BP 167/115 all other vital WNL. Nil Hx, light smoker. Pt Mx with 400mcg sublingual GTN, dropping BP to 120 systolic (further withheld), 20g IVA in left forearm, 50mcg IV fentanyl, 8mg IV ondansetron. Direct pPCI referral to interventional cardiologist. 5000 units heparin IV and 180mg Ticagrelor PO. Lights and sirens Tx to Cath Lab. ECG interpretation? Your differential diagnosis? Any changes you would make to the management? Interested in your thoughts. ????

PCI, myocardial infarction. Pictures from before and after RCA stent placement. Upon arrival, pt was bradycardic and PM needed, hopefully normal rhythm will return with the re-vascularization and pt can be discharged wo/ permanent PM.

Cath lab follow up from pt i took in the other day.

Ekg after pt went for heart catherization after found to have 100% blockage of LAD. Brought to CTICU, tomb stone ST elevation observed on monitor. Pt began complaining of chest pain, then cardiac arrested. Successfully resuscitated and taken to OR for an emergent CABGx1 of LAD, LAD was severed during cath.

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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?