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May EKG 2008 Answer Key

May 2008 EKG Case Answers

Please return your answers to the EKG box or e-mail them to Dr. Rao at parinamrao@gmail.com by May 31, 2008

 A 63 year old female presents with retrosternal chest pain that started 14 hours ago. She has a history of HTN, obesity, CHF and is a smoker.  Her meds include lasix, aspirin, nitroglycerin and vasotec. Her EKG one month ago was normal sinus rhythm.

What does her EKG show?

Rate:    35-40

Rhythm:  regular

Axis:    left

PR:    no p waves

QRS:   wide

ST:    ½ mm ST elevation II, III, AVF, ST depression V2-V4

EKG Diagnosis: Idioventricular rhythm, possible inferior wall MI

Clinical diagnosis:  (In what setting is this EKG seen?  Name at least 2)

 

          • MI
          • Following coronary reperfusion
          • Digitalis toxicity
          • Occasionally normal

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