Crushing Chest Pain: What Does His ECG Show?

Philip J. Podrid, MD


July 05, 2018

A 59-year-old man is seen in the emergency department (ED) after experiencing 2 hours of substernal crushing chest pain radiating to his lower jaw and shoulders. He states that he has had similar symptoms with exertion over the past 6 months but has not sought medical attention. Upon arrival to the ED, a 12-lead ECG is obtained and he is treated with intravenous (IV) nitroglycerin, IV beta-blocker, aspirin, clopidogrel, and heparin. Just before being transferred to the cardiac catheterization lab, there is a change in his rhythm on telemetry, and another 12-lead ECG is obtained.

Figure 1. Courtesy of Dr Podrid


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