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He reported a history of “Wolf-Parkinson-White” and “heartattack” but said neither had been treated. This has been discussed many times before on this blog. In-depth discussion is beyond the scope of this blog. These diagnoses were not found in his medical records nor even a baseline ECG.
He reportedly told his family "I think I'm having a heartattack", then they immediately drove him to the ED, and he was able to ambulate into the triage area before he collapsed and became unresponsive. CPR was initiated immediately. There is also STD in V2-V4 (but maximal in V5-V6).
He stated it was similar to prior heartattacks. ST depression maximal in V1-V4, in the context of ACS symptoms and unexplained by QRS abnormality or tachydysrhythmia, should be considered posterior OMI until proven otherwise. The pain was still ongoing at arrival. He also noted a bilateral "odd feeling" in his arms.
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