ECG #27

A 49-year-old woman attends the emergency department 1 hour after the onset of central crushing chest pain, radiating to both upper limbs, and associated with nausea, diaphoresis, and dizziness.

Describe and interpret her initial 12-lead electrocardiogram:

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30 minutes later…

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2 hours later…

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2 hours later still…

An anterior STEMI was eventually diagnosed and the patient was taken for percutaneous coronary intervention where she was found to have a mid-vessel total occlusion of her left anterior descending coronary artery. A stent was placed successfully following thrombus aspiration.