77 male, tall and thin, called 911 c/o gradual onset of 2/10 | Figure 1

GIGinger

Paramedic

77 male, tall and thin, called 911 c/o gradual onset of 2/10 retrosternal chest pressure x30 minutes while at rest with no provoking/relieving factors, no radiation. PT A&Ox4, vitals WNL, initial EVALUATION approx 35 minutes after symptom onset. Symptoms spontaneously resolved after initial ECG, and second ECG acquired approx 40 minutes after onset of symptoms. Chest clear, no peripheral edema, skin pale, cool and clammy.

PT self administered ASA PTA and treated again with ASA by paramedics.

Hx of PE, HTN, stomach CA (receiving chemotherapy currently), Paroxysmal A. Fib. requiring electrical cardioversion.

Rx: Iron, Fragmin, chemotherapeutics

ECG interpretation? Tx and transport considerations? Working assessment? Pathophysiology?

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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?