ECG of the Week - 28th March 2016

The following ECG series is froma 58 year old male who was referred by his GP following 14 hours of central chest pain. His past medical history included hypertension, hypercholesterolaemia, and smoking.

ECG at GP's
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ECG on arrival ED
Performed ~ 60 minutes after ECG above
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ECG performed ~60 minutes after initial ED ECG
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Things to think about

• What are the key features on each of the ECG's ?
• How would you manage this patient ?