Here is the latest from our "Snapshot" case collection..
This ECG was taken from a 45 year old female patient who had "off and on" chest pain for about 24 hours. The discomfort radiated to her left arm, and she complained of some "dizziness". She denies any associated SOB, or N/V. The discomfort worsened over the last few hours without relief, so she presented to her PCP.
Her past history is significant for hypertension and uterine cancer, and smoking 1 pack/day.
- HR: 74 regular
- BP: 148/86
- RR: 16 regular, sp02 98% RA
- Skin: warm and dry
She had received 324 of ASA and NTG x2 from the treating physician prior to EMS arrival.
At about the time this ECG was acquired, the patient stated she was pain free:
What is your impression of the ECG?
How concerned are you about this ECG?
Would you activate the cath lab?