40 yr old male with acute retrosternal chest pain

3mo ⋅ ⋅

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Cc: Doc we need you in room 4 RIGHT NOW

1yr ⋅

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Just a little fast.. 29 yo male. No cardiac history

2yr ⋅

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Does anyone else like to make art with EKGs?

8mo ⋅

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“I need that stuff that makes me feel like shit for a few seconds”

4mo ⋅

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73yof episode of resolved chest pain earlier in the day, but now lethargic with SOB

11mo ⋅

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If you look closely enough you might be able to see some elevation

2yr ⋅

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sir, how are you conscious?

7mo ⋅

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86 y/o Male, AMS, Potassium of 8.4

3yr ⋅

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Patient drove himself here after told his heart rate was “a bit high.”

3mo ⋅

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I got mad at my dog, and now I'm dizzy (Early 20s-male, converted with Amio)

1yr ⋅

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38 y/o male with complaints of epigastric pain. BP 170/110. Chronic smoker but no other comorbidites or prior hospital admissions

11mo ⋅

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my heart feels kinda fast

1yr ⋅

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29 y/o firefighter, chest pain after firefighting

2yr ⋅

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Had a Pt go into a 10 beat run of V-Tach at work yesterday

10mo ⋅

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Medic called to man down. Unknown down time. History of multiple SI. Roommate found a ligature around his neck as well. GCS 3, snoring respirations, pupils 5mm, dry mucous membranes, empty bottle of amitriptyline on the floor that was freshly filled, profoundly hypotensive. Here’s my prehospital EKG

9mo ⋅

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90 y/o female just presented to the ED with non-traumatic left arm soreness

2yr ⋅

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Not a patient of mine; interested to see discussion

9mo ⋅

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Patient presents with a heart rate of 220, initially thought to be SVT, a diltiazem-lowered rate revealed a fib. Eventually sent to the floor with a rate of 120.

1yr ⋅

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This is a bad sine

2yr ⋅

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Mid 50’s female altered mental status

2yr ⋅

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Walked into triage. “I don’t feel good.”

6mo ⋅

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35 M... Cocaine is a helluva drug!

2yr ⋅

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CP after hike

1yr ⋅

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Ugliest EKG I’ve ever seen

4mo ⋅

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68 year old female complaining of lethargy

1yr ⋅

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46 F with chest pain and left “elbow pain”:

9mo ⋅

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27 y/o M, presents with palpitations

9mo ⋅

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Chest pain after morning jog (male, 30s)

1mo ⋅

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Most elevation I have personally seen

1yr ⋅

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5YoM, c/o central chest pain, pale and diaphoretic

1mo ⋅

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the ekg algo had fun with this!

9mo ⋅

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Dizzy

1yr ⋅

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Lively rhythm strip to start your morning. 100J of God’s synced respawn juice straight to the dome set him straight. Hemodynamically stable 71M, A/Ox4, untouched by procainamide.

2yr ⋅

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99% RCA 80%LAD

8mo ⋅

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Haven’t puckered that hard in a long time. Called out for a chief complaint of dizziness lasting ~4 hours. Received a bovine mitral valve approximately one week ago. No other history or symptoms.

1yr ⋅

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Need a second opinion

1yr ⋅

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47 YOM, finished gym workout, acute onset crushing substernal chest pain

3yr ⋅

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SVT and adenosine while running a 60sec EKG. 40 year old woman with a failed modified valsalva maneuver

9mo ⋅

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59 YOM, in hospital for pneumonia, randomly had a spout of tachycardia and VT.

2yr ⋅

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prehospital STEMI, diagnosed in the ED as STEMI. was not a STEMI

10mo ⋅

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25 year old male who developed chest pain following a bee sting on his chest while exercising barechested on the terrace.

2mo ⋅

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70M called 911 after going fishing

1yr ⋅

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Same patient, 10 minutes apart. 58 YOF, Chest pain/ SOB. Pale, Cool, diaphoretic. Moved her down to ambulance. Repeated 12 lead. Gave 324mg aspirin. All symptoms resolved. Cardiologist dx as coronary spasm. Cathed as a precaution. One of the coolest things I’ve seen recently.

11mo ⋅

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ER waited to call the STEMI.

2mo ⋅

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Ruled out as a STEMI by cardiology, but was enough to concern myself and our ED doc.

9mo ⋅

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“My doctor called an ambulance, but I decided to drive myself.” M 40’s

1yr ⋅

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30 y/o male, incoherent and moaning, GCS 10, hypotensive. Notion of chest pain from freinds

2yr ⋅

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40 yo Female, “burning sensation” in her chest.

2yr ⋅

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37F STEMI caused by SCAD

1yr ⋅

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No wonder your chest feels like it's caving in.

1yr ⋅

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57 y/o female with dyspnea on exertion x2-3 weeks

9mo ⋅

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16 YO Male with chest pain and SoB. Family history of sudden cardiac death

1yr ⋅

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Unresponsive ~50yo female.

11mo ⋅

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40 Male. Onset of moderate CP and diaphoresis while playing soccer. Arrested twice on cath lab table.

2yr ⋅

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55yom Witnessed Arrest

3mo ⋅

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58 y/o female found clutching a pole in the parking lot of an urgent care, short of breath, on her way to work up the hill. Taken inside and this was her 12-lead:

2yr ⋅

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76M found on floor by family. Comes to ED with c/o weakness & AMS, BP 82/36 & BGL >548 on arrival.

2yr ⋅

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The hospital isn't even surprised anymore when patients show up with me handing them EKGs like this

9mo ⋅

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73yo male. Passed away from cardiac arrest. I took his last EKG and the machine interpreted it as afib. Sorry for the crappy picture I just thought this was interesting

1yr ⋅

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19y/o after cocaine use

2yr ⋅

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80s female c/c of “I don’t feel good”.

1yr ⋅

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A little rare gem for y'all

1yr ⋅

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Had this little beauty today

9mo ⋅

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26 y/o M, chest pain

2yr ⋅

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When the reaper said no to 6/12/12, I said fine and gave 10mg versed and 100J. There are some possible DeWinters lurking there as well.

2yr ⋅

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This 56 YO told ED he had ‘White coat syndrome’ before he was given amiodarone, adenosine & metoprolol. Would you have spotted the accessory pathway?

1yr ⋅

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56yo F Sick Person with Syncope

3yr ⋅

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Asymptomatic heart disease sucks...

3yr ⋅

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53 year old man presents with chest pain

1yr ⋅

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PT with history of lightheadedness

1yr ⋅

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31YO Male treated for SVT. Was cardioverted in the ER under sedation after adenosine didn't convert on site.

1yr ⋅

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Patient at work had this, what would your interpretation be?

4mo ⋅

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40s M, back pain, consistent “with previous PEs”

1yr ⋅

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Rapid progression of a STEMI

2yr ⋅

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Please, comment on rhythm.

2mo ⋅

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Why serial EKGs are important

10mo ⋅

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EMS- ongoing neck tightness and mild dyspena on exertion, ongoing since Thursday.

2yr ⋅

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10yo PT after 3 adenosine pushes, labetalol and a lidocaine push

10mo ⋅

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40 year old female Cardiac Arrest , Rosc 12 lead , no history , meds: birth control , covid + x 3 days . PT went into v fib & aystole shorty after Rosc 12lead , worked for 2 hrs before being called.

2yr ⋅

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VT or SVT? Case I saw in the hospital

1mo ⋅

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This one was a first for me. 30 yo male. Looked liked death.

2yr ⋅

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31 y/o M, presenting diaphoretic and pale w/ CP

2yr ⋅

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Dead man sign

3mo ⋅

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Now I’m no doctor but this doesn’t look too good for a 70yo male

1yr ⋅

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55 y/o female pt w/ chest “discomfort” 2/10. Chest pain protocol followed, pt taken straight to cath.

2yr ⋅

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ASNWER TO FOLLOW: 81M with sudden onset chest pain - details in image.

9mo ⋅

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50 yr old male with Pancreatitis.

1yr ⋅

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Need help deciphering this EKG!

4mo ⋅

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Asylum seeker in his 20s presenting with drowsiness after drug use

2mo ⋅

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29 YO male 1 hour post cath lab

4mo ⋅

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67 y/o M called 911 because Apple Watch HR was +200bpm

9mo ⋅

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8 y/o male with no history vomits after lunch, is noted to he hot to the touch by mom, and becomes responsive only to deep pain. Temp is 103.5. All other vitals normal but slightly hypotensive.

1yr ⋅

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69 yo male indigestion

1yr ⋅

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Inappropriate ICD shock during TME

3yr ⋅

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23M head trauma

11mo ⋅

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Not my post, but thought this would be appreciated here.

2yr ⋅

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Dispatched for 41yr/m C/C of “Tooth Pain”... Info on comments

1yr ⋅

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55M, MI last week, coming in with fatigue

2yr ⋅

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57 YOM cc aches, weakness, no food/drink x8 days

9mo ⋅

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65 YOM short of breath CHF history.

9mo ⋅

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Sinus paus- halftime? FULL STOP?

10mo ⋅

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59 y/o male with 10/10 crushing chest pain starting 20 minutes prior to EKG. History of MI 8 years ago.

10mo ⋅

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Fun one from today. 81 y/o M, no cardiac hx

2yr ⋅

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Afib with run of vtach or run of aberrancy? Some of my coworkers use different terminology.

1yr ⋅

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Another VTach debate

2mo ⋅

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57 y/o M s/p syncopal episode

9mo ⋅

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Can you have LBBB and LVH with hyperkalemia?

2yr ⋅

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36 year old male, no history, in good health.

1yr ⋅

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Paramedic student. Why was I wrong for putting sinus tachycardia as my answer? I’m failing to see how this could be something else.

1mo ⋅

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45 y/o f with sudden onset of chest pain

11mo ⋅

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15yoM, syncope in class with no previous history

3mo ⋅

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Inferiolateral MI from work.

10mo ⋅

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Caught me a big one. First time in clinical seeing this

1yr ⋅

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Do you think this is VT or SVT with aberrancy?

1yr ⋅

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81m chest heaviness/SOB and feeling of “impending doom”

2yr ⋅

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Just a bit of indigestion.

2yr ⋅

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From a couple years ago, but still the most impressive STEMI I’ve ever seen. Interesting story in the comments.

2yr ⋅

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33M Typical Chest Pain

3mo ⋅

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45 year old male presented with c/o palpitations since 1 day a/w 2 episodes of vomiting, chest pain yesterday. No SOB, syncope. No other cormorbodities. Tobacco chewer, occasional alcoholic.

10mo ⋅

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70 YOM out for a walk.

1yr ⋅

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63 y/o with hx of seizures. AxO x4 at time EKG was taken.

1yr ⋅

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30 M, only lightheaded

2yr ⋅

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65 yo Female complaining of epigastric pain

2yr ⋅

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I found bad squigglies!

11mo ⋅

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Unresponsive female

6mo ⋅

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42 year old covid patient. Unvaccinated. Otherwise healthy and working. Huge blood clots in the heart confirmed by echo. Went to brain and died soon after.

2yr ⋅

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97 Y/F with dementia sent out by NH for suspected unwitnessed fall. Claims bradycardia is “baseline” and daughter refuses pacemaker placement due to age.

1yr ⋅

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42 y/o male with hx of stents (2017 & 2019). Coded en route to the hospital.

1yr ⋅

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63yo female

1yr ⋅

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32M overdose of bupropion

2yr ⋅

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79yoM history of triple bypass. Complaining of heart palpitations. BP and O2 were stable.

11mo ⋅

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39 YOF complaint of feeling “hot and dizzy” BP 100/70, A&O 4. Thoughts? No pertinent medical history

10mo ⋅

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A nice AFL with changing ventricular response

1yr ⋅

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56 yom, post v-fib arrest, x2 defibrillations, x3 epinephrines

2yr ⋅

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73Y M CC: Fatigue

11mo ⋅

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First time I’ve seen Wellen’s Syndrome on my own patient - 65F with NSTEMI

1yr ⋅

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61 year old male with substernal chest pain for 25 minutes, diaphoresis, dyspnea. Coronary Stent 10 years ago.

3yr ⋅

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77yo f presents w chest pain. Spot the ekg change!!

2yr ⋅

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60 yo F walks into ED complaining of chest pain

7mo ⋅

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End of shift butt clencher

3d ⋅

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Patient came in for COVID Symptoms via BLS. Turns out he had a Dissenting Aortic Aneurysm.

2yr ⋅

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C/C: Incontinence, lethargy

2yr ⋅

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Diagnosed as Wide Complex Tachycardia.

1yr ⋅

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Female patient complaining of severe chest pain. Cool, pale, diaphoretic. STEMI?

2yr ⋅

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Inferior MI?

3mo ⋅

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What is this??

7mo ⋅

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