The first ECG is pre-EST. The second ECG was performed when the patient became pre-syncopal during EST. The third ECG was taken 2 minutes after the second ECG and the fourth ECG was performed a further 2 minutes later. The patient was immediately transported to the Emergency Department were he was pain free and ECG was comparable with his pre-EST ECG.
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| ECG 1 - Pre-EST Click to enlarge |
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| ECG 2 - During EST patient complained of pre-syncope Click to enlarge |
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| ECG 3 - 2 Minutes after ECG above. Nil ALS intervention required. Click to enlarge |
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| ECG 4 - 2 minutes after ECG 3. Patient pain free. Click to enlarge |
- What are the key features on each of the ECG's above ?
- What would you Emergency Department management be ?
- What would you do next ?
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