![]() So I asked for a second ECG and quickly ran to get the ultrasound machine so I could do a bedside POCUS to look for wall motion abnormalities. Given he was diaphoretic, I was thinking this was an evolving anterior STEMI. Looking closer at leads V2 and V3 I can imagine that I am seeing some ST-segment elevation. This was read by the ECG machine as normal sinus rhythm and age undetermined septal infarct. The patient involved in this case has given permission to share the story, and relevant images with the knowledge that this information will be used for the purposes of education. ![]() ![]() He got put on the monitor and an ECG was run… In his mind, he thought this might be an ulcer and just needed some Pepcid to help. Today he was working on his pool and developed the same chest discomfort as he had been having off and on the past several months, but today, the pain would just not go away. He just had a stress test two months ago that was “negative”. He is a paramedic telling me how he has been having off and on chest pain for the past several months. I remember thinking as I walked into the room this guy looks ashen and diaphoretic….he doesn’t look well. I was working a busy shift in the ED, like many of us do, and the next patient I was going to see was a 57 year old male with no real medical problems complaining of chest pain.
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