ECG of the Week - 17th March 2014

This is one of the older ECG's in my collection. I don't have any clinical information but it's safe to say the patient complained of chest pain.

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VAQ Corner

A 56 yr old male presents to your rural Emergency Department complaining of 2 hours of chest pain.
Vital signs: BP 156/83 RR24 Sats 95%

a) Describe & interpret his ECG (50%)
b) List the contraindications to thrombolysis in this case (50%)