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February EKG Answers

February 2005 EKG Case:

 A 50 year old male presents with one hour of substernal chest pressure associated with nausea and diaphoresis. He has a history of diabetes and hypertension.  He had a normal EKG one month ago. What does the EKG show and what is your diagnosis?

Rate:  80
Rhythm:  sinus rhythm
Axis:  left axis
PR:  0.16
QRS:   wide (0.17)
ST:  elevated in V2, V3, V4, and V5

EKG diagnosis: acute anterior MI

Treatment: oxygen, aspirin, nitrates, thrombolytics, beta blockers

 

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