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He reported a history of “Wolf-Parkinson-White” and “heartattack” but said neither had been treated. The receiving emergency physician consulted with interventional cardiology who stated there was no STEMI. Is there STEMI? These diagnoses were not found in his medical records nor even a baseline ECG. What is the rhythm?
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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