ECG QUIZZ EDHSM

40 year old man with NKMI, NKDA presented with right sided chest pain, radiate to the jaw and left upper limb. No other associated symptoms. Vital signs are stable, and physical examinations were unremarkable. Interpret the ECG and give your management plan.

• NSR, narrow QRS, regular, no STE/ STD. No ischemic changes

  Allow discharge

• NSR with LVH

  Trace Trop I and admit medical ward

• NSR, hyperacute T wave V2-V3, STD lead II, aVF.

  Serial ECG

  DAPT STAT

• NSR, ventricular rate 83, tall tented T wave V2-V3.

  Trace potassium

30 yr old woman with underlying DM and HPT, presented with central chest pain.

AN EXAMPLE OF STEMI EQUIVALENTS

25 yr old man, with NKMI presented with syncopal attack while working.

What is the ECG finding?

75 yr old woman presented with central chest pain, radiate to the back. Vital signs stable. Physical examinations of CVS, lungs, abdomen were normal. What are the ECG findings, and what's your next plan?

• SR, tachycardia, STD V1-V6, I, II, aVF, tall R wave at V2, V3 with R>S .

  Plan: ECHO, DAPT, R sided ECG, posterior ECG

• SR, narrow QRS, regular. STD at right precordial lead, good R wave progression.

  Plan: ECHO, DAPT, refer medical

• SR, narrow QRS, regular, widespread STD. aVR STEMI

  Plan: DAPT, consult EP for thrombolysis

• Sinus tachycardia, no ischemic changes.

  Plan: Analgesia, discharge home.

50 yr old woman presented with central chest pain associated with diaphoresis 1 hour ago. What is the ECG finding?

60 yr old woman with U/L DM, HPT, advanced CKD presented with sudden onset of central chest pain associated with SOB and diaphoresis since 30mins ago. Describe the ECG and what's your next plan?

54 yr old man 24 hours post thrombolysis for acute MI, currently asymptomatic. Which coronary vessels most likely involved?

• Right coronary artery

• Left circumflex coronary artery

• Left anterior descending artery

• Posterior descending artery

40 yr old man presented with right sided chest pain, radiate to the jaw. Diagnosis?

Describe the ECG findings and give the diagnosis