Follow up from previous case! Male with chest pain and STEMI | Figure 1

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Follow up from previous case! Male with chest pain and STEMI on EKG.

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80M presenting to ER close to midnight, c/o persistent chest discomfort since 22:00. Pt had been having intermittent discomfort during the day while playing golf all day. Pain remained present but became constant afterwards. Help me break down this ekg. Management, and suspicion(s)

circumflex?

inferior-lateral STEMI. Patient had a 99% blockage of the 1st OM. Essentially has triple vessel disease and will need consult for #CABG on an outpatient basis. EKG courtesy of Air Strip Cardiology. It's an app that allows you to see the EKG from home or wherever you are. Decreases false STEMI alerts.

This is an ecg showing Wellens' sign and the angiogram confirms the anatomical prediction charcterized hy Dr. Wellens

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?