This tracing is the first obtained in the cath lab post STEM | Figure 1

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This tracing is the first obtained in the cath lab post STEMI alert. Can you guess what vessel was angioplastied?

42 year old male presents to the local urgent care with atypical chest pain. PT states he has occasional chest numbness, bilateral arm pain and tingling and upper back tightness. Bilateral BPs equal at 186/102 after 2 nitro. First two ECGs are done prehospitally at approximately 40 minutes after onset of discomfort, third is approximately an hour to an hour fifteen after onset. PT is a airline pilot that has come to our city after back to back three hour flights and has been to Mexico within the last month. No PMH no meds. He denies recent nausea, vomiting, diarrhea, and malaise. Family history of sudden cardiac related death in their 60s. Is a tobacco user.

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.

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.

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?

This tracing is the first obtained in the cath lab post STEM | Figure 1

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