A 52 year old woman is triaged as a category 2 after complaining of chest tightness on the background of having previous cardiac history. She thinks she may have had stenting to her coronaries but is unsure. Please systematically describe the ECG and anticipate what structural or functional changes she may have to her heart on echocardiography.
Interpretation of ECG from 23 November 2022
A 27-year-old female presented with fever, diarrhoea and feeling unwell for 3 days. Her vitals showed the following:
Blood pressure = 102/50 mmHg
Pulse rate = 138/min
The following ECG was printed when the ST segment alarm on the cardiac monitor started alarming:
Interpretation of ECG from 16 November 2022
Question 1 answer
The most obvious abnormality is ST segment elevation in lead aVR with diffuse ST depression in most other leads (least in aVL but obvious in all others).
Findings
Bottom line
30 year-old-lady sent by her GP for increasing tiredness over the last few months. She has been under too much stress, due to increasing work demands and hers wedding planning.
Her blood gases (Venous) showed the following:
PH = 7.47
PCO2 = 57 mmHg
A 37 year old male presents to ED complaining of central chest pain. Below is the patients ECG: