The forgotten lead- aVR

By Chris Paul MD, OSU EM Assistant Professor // Edited by Michael Barrie MD, OSU EM Assistant professor

54 yo F presented with chest pain and shortness of breath for two days
past medical history included prosthetic aortic valve, endocarditis, MI, DM, HTN, HLD, cough variant asthma and stroke

Vital signs -HR 130’s, bp – 110’s, spO2 – low 90s/high 80’s

initial EKG

IMG_2843 copy

What’s your interpretation? Plan for management?

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