Remove ACE Inhibitor Remove STEMI Remove Tachycardia
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Hyperkalemia

EMS 12-Lead

The attending crews were concerned for SVT with corresponding ischemic hyperacute T waves (HATW) and subsequently activated STEMI pre-hospital. 2] But there is also Sinus Tachycardia! ACE inhibitors, or potassium-sparing diuretics), are particularly susceptible. Closer inspection will show that it is Sinus, after all.

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A man in his 70s with chest pain during a bike ride

Dr. Smith's ECG Blog

The patient stated he had a long history of well-controlled hypertension for which he was compliant with his ACE-inhibitor. C linically — the rhythm we see in the long lead II of ECG #3 behaves similar to MAT, even though there is no tachycardia. He had no prior MI and recalls a “negative” stress test in the recent years.