A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
Figure 1. Index ECG.
The Case:
A 49-year-old M without relevant PMHx presented for a month of abdominal pain and post-prandial emesis. He denied chest pain or shortness of breath. Triage vitals were within normal limits, and the following ECG was obtained. He denied any chest pain or shortness of breath now or in the recent past.
Jose Reyes MD
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Figure 1. Index ECG.
The Case:
A 62-year-old F with a PMHx of osteoarthritis presented for two months of intermittent, unprovoked syncope, worse over thepast 24 hours. She was admitted one month prior and had TTE and 24 hours of observation without a noted event. She notes the day prior syncopizing without prodrome, chest pain, or SOB, and additionally experienced this 1-2 hours prior to presenting. She was brought to resus after syncopizing in the waiting room and being bradycardic. Figure 1 was obtained when the patient initially presented to the resus bay.
Jose Reyes, MD
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Figure 1. Index ECG notable for repolarization abnormalities of leads III and V2.
A 50-year-old male with a history of tobacco use disorder presents with 1 week of intermittent, central, pressure-like chest pain that lasts a few minutes at a time without clear exacerbating or relieving factors. He had a particularly severe episode just before arrival but is now pain free. The initial ECG is shown in Figure 1.
Samson Frendo, MD and Adam Roussas, MD
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