Thanks to Jim Tarro for the following case study
43 year old female presents to EMS with “indigestion-like” chest discomfort.
She states that it “feels like a previous heart attack.”
Onset: Several hours ago
Provoke: Antacids make the pain feel better
Quality: “Indigestion-like” chest pain
Radiate: The pain does not radiate
Severity: She gives the pain a 7/10 at the time of evaluation
Time: The pain comes and goes
Vital signs are assessed.
Past medical history: Myocardial infarction, HTN, CAD, NIDDM
A 12 lead ECG is captured.
*** UPDATE ***
Here is the 12 lead ECG captured at the emergency department.