ECG Challenge: No Ma'am, It's Not Indigestion

Philip J. Podrid, MD


May 01, 2018

A 78-year-old woman with a known history of coronary artery disease and previous stenting of an unknown vessel presents to the emergency department after several hours of substernal chest pressure that she thought was indigestion. However, the discomfort persisted despite therapy with antacids and food. Upon presentation, her blood pressure is 100/60 mm Hg and her pulse is rapid. A 12-lead ECG is obtained.

Figure 1. Courtesy of Dr Podrid.


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