A 56 year old blackÂ male presents to the Emergency Department via EMS, complaining of Chest Pressure, 10/10 pain scale. Pain started suddenly following sudden onset of palpitations, while mowing his lawn.Â All approximately 5 minutes prior calling EMS.Â Keep in mind, it was a hot and sunny day with temperature in theÂ 90’s. He advisedÂ ofÂ prior episodes of chestÂ pressure but never as severe as today’s episode.Â The pressure is generalized throughout his chest, and nothing seems to make it better.
- Patent airway
- Adequate ventilation with regular and equal chest expansion
- Strong, irregular radial pulses with skin pink, warm and diaphoretic
INITIAL VITAL SIGNS:
- Heart Rate: 206 beats/min
- Respiratory Rate: 22 breaths/min
- Non-invasive Arterial Blood Pressure: 141/102
- SpO2: 98% on 3 lpm
- Blood Glucose: 102 mg/dL
- Hypertension (complaint)
- Non-smoker, occasional alcohol consumption
NO KNOWN ALLERGIES
EMS obtains the following 12 Lead ECG and transmitted to the ED:
Upon arrival to the ED, the following 12 LeadÂ ECG was obtained:
What is your detailed 12 Lead ECG interpretation?
What is your course of treatment?
Do you think this patient requires Cath Lab activation?