Remove AFIB Remove Cardiogenic Shock Remove Pericarditis
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Noisy, low amplitude ECG in a patient with chest pain

Dr. Smith's ECG Blog

Tachycardia is unusual for OMI, unless the patient is in cardiogenic shock (or getting close). The "flu-like" illness suggests myo- or pericarditis, but that would be a diagnosis of exclusion. The ECG has a lot of artifact, and the amplitude is very small, making interpretation challenging. The case continues.