A 79-year-old Bangladeshi man arrived in the ED via private car. He describes having chest pain for 4 hours that is worse on the left side than the right. He speaks no English and it is impossible to immediately obtain a more detailed recent history. His past medical history includes Type 2 diabetes and a “thyroid problem.” His medications include glipizide 5 mg once daily and levothyroxine 50 mcg once daily. On exam, his BP is 154/71 mm Hg, P 62 beats per minute, R 18 breaths per minute, and T 96.7. He is alert and as far as can be ascertained, oriented. There are no other significant exam findings.
A 12-lead ECG was obtained as seen below.
1. What is your ECG interpretation?
2. What is your disease differential diagnosis?
3. What would you do?
Please post your answer in the “reply box” or click on the “comments” link You will not see your answer post until next week when all of the submitted answers will be posted. Good luck!
Tracings is a learning module involving actual cases of patients and their ECGs that present to the Emergency Department. Topics are derived from the EM Model for Resident Education. Cases are prepard by Dr. William Berk.