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2) The STE in V1 and V2 has an R'-wave and downsloping ST segments, very atypical for STEMI. Cardiology was consulted and they agreed that the EKG had an atypical morphology for STEMI and did not activate the cath lab. Pediatric and elderly patients were more predisposed to developing an arrhythmic event in the setting of fever [7].
Regardless of further evaluation, she should avoid bradycardia, AV nodal blockers, Na channel blockers, and fevers. --If --Genetic testing could be helpful to confirm the diagnosis and allow for screening of other at-risk family members. --EP EP study to further risk stratify her is recommended, with ICD placement depending on the results.
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Bradycardia 
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