Another Cardiac Arrest – Is it OMI this time? Use your skills from the previous post! Repeat 23min later.
This ECG is from a male in his 40s who developed sudden shortness of breath and arrested soon after. This was the initial ECG after 5 shocks for VT/VF when he was intubated and without any spontaneous movements.
This ECG shows high lateral ST elevation. Within the PVCs there is excessive discordant ST elevation in I and aVL, as well as excessive depression in II, III, aVF, V5 and V6. The cause was an acute posterolateral MI. The ST segments were initially misinterpreted as being part of the QRS complexes.
A 70-something woman with syncope and a wide complex
This ECG is from a woman in her 70s who presented after a syncopal episode on a background of coronary artery disease.
This ECG shows wide complex rhythm with excessive discordant ST elevation in V1, V2 and aVR. The cause was a 90% proximal right coronary artery occlusion.