Great STEMI case; DTB 15 mins.

[John Hill]

We had a 73 yof visiting Rydal Park and was found in the lobby c/o back pain. Imagine my surprise when I saw this EKG:

EKG_Case2_Large1.jpg

After ASA, NTG and a little MS the pt. was nearly pain free. Spent 3 mins in the ER before going to the cath lab.

[Bruce Chew]

You stated the patient's chief complaint was "back pain" Did she present with any other "CLASSIC" symptoms of ACS?

If not this is a great example of expanding the criteria for performing 12-Lead ECG! Elderly females can have silent MI, which requires us to think outside the box when evaluating and treating our patients.

-B