A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
Figure 1. Index EKG
A 59-year-old male with no known medical history presents to the emergency department with complaints of chest pain and shortness of breath for one week. The chest pain and shortness of breath is exertional and acutely worsened on the day of presentation which prompted the ED visit. Initial vital signs notable for BP 106/87, HR 45, RR 18 and oxygen saturation 98% on room air. The patient’s initial EKG (Figure 1) is shown.
Abish Kharel MD and Ari Edelheit MD
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Figure 1. Index EKG
The patient is a 70-year-old female with a past medical history of hypertension, off of medications, who is presenting for concern of chest pain. The pain radiated to both her neck and back, started at 4 AM, and resolved just 10 minutes prior to arrival in the emergency department. The patient had an EKG (Figure 1) in triage that was immediately brought to the attending for review
Erica Dolph MD and Ari Edelheit MD
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Figure 1. Index EKG
A 74-year-old male with documented 95% stenosis of the LAD in 2021 status post catheterization, HIV well-controlled on Tivicay presents to the ED for intermittent non-exertional, non-pleuritic chest pain that started 2 days ago. The pain is described as non-radiating. He denies any fevers, cough, shortness of breath, lower extremity swelling, abdominal pain, vomiting, diarrhea. He denies prior history of DVT or PE, recent travel, or surgery. Initial vital signs were: BP 163/82, HR 160, RR 20, O2 97% on room air. His EKG (Figure 1) is shown.
Veda Ravishankar MD and Ari Edelheit MD
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