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Because of the tachcardia, I would expect her to be very poor left ventricular function and maybe Cardiogenicshock. Today’s patient developed the series of 4 tachyarrhythmias shown above in the criticalcare area of the ED. Instead, he complained of left chest "itchiness". Not all anterior LV aneurysm has a QS-wave.
Colin is an emergency medicine resident beginning his criticalcare fellowship in the summer with a strong interest in the role of ECG in criticalcare and OMI. Tachycardia is unusual for OMI, unless the patient is in cardiogenicshock (or getting close). Written by Colin Jenkins. Edits by Willy Frick.
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