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A middle aged male with no h/o CAD presented with one week of crescendo exertional angina, and had chestpain at the time of the first ECG: Here is the patient's previous ECG: Here is the patient's presenting ED ECG: There is isolated ST depression in precordial leads, deeper in V2 - V4 than in V5 or V6. Blackwell Publishing 2009.
Written by Jesse McLaren A 75 year old with a history of CABG called EMS after 24 hours of chestpain. The patient has a history of CABG so some of these changes could be old, but with ongoing chestpain and bradycardia in a high risk patient this is still acute OMI until proven otherwise. Eur Heart J 2009 4 Lemkes et al.
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