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ECG Case #39

A 62 year old male with a history of hypertension presents with chest pain. His blood pressure is 140/90, heart rate 70, respirations 20, and oxygen saturation 98% on room air. His physical examination reveals normal lung sounds, an S4 heart sound and a III/VI holosystolic murmur at the base radiating to the apex. He is still having chest pain. His ECG is below:


Question #1

What are the ECG findings?


Question #2

What further testing should be done before giving this patient nitroglycerine for his chest pain?




Question #3

What is the finding of ECG #2 and how does it change the medical management of this patient?




Continue to case #40



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