Friday, March 16, 2012

EKG Scenario: can you identify what is going on?

A 68 year old male walks into the ER with his right hand holding his chest.  He is diaphoretic, feeling nauseated, and tells the triage nurse that his chest feels like an elephant is sitting on it.  The nurse takes him back to a room and hooks him up to a 12-lead EKG monitor.  This is the rhythm she sees:   
What do you see on this EKG?  Is there ST depression, STelevation, or no ST elevation. Does this mean there is ischemia, injury, or infarction?  What is going on with this rhythm?  What is the rate?  See if you can answer these questions and let Marna know.  If you have any questions ask Marna.   
               

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