Acute dyspnea in an older woman, is it OMI?
Dr. Smith's ECG Blog
FEBRUARY 18, 2024
Written by Willy Frick A woman in her 90s with a history of end stage renal disease and complete heart block status post dual chamber pacemaker presented from home with acute onset dyspnea. ECG is shown below. What do you think? The ST and T wave abnormalities jump off the page, but let's set that aside just for a moment to review the tracing systematically.
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