70yo ♂️ with ongoing CP in the night, calls the ambulance.
You receive this ECG.
What would you do?
#cardiotwitter
And if you think of a culprit, which one would you think it is?
We didn't know much of the patient than the paramedics told us. He was never in our hospital so there were no ECGs to compare to.
We decided to activate the cath lab immediately: no culprit lesion, no significant stenosis.
In CT no PE, TTE with normal LV function.
The patient was discharged the next day.
I thank you all very much for your valuable comments.
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