You arc caring for a patient who is admitted with acute chest pain. His VS arc stable but he is complaining of 8/10 chest pain, which began 2 hours ago and has steadily increased. This is his initial ECG (A):
The cath lab is not yet ready for this patient, so while waiting to transport him you initiate ST segment monitoring. The ST segment alarm rings and when you check the patient you sec higher ST elevation on the monitor. You get another ECG (B):
What is your interpretation of the initial ECG (A), rhythm, QRS axis, bundle branch block, and ST segments?
What would be a good lead for ST segment monitoring in this patient? Describe how to initiate ST segment monitoring.
What is your interpretation of the second ECG (B), rhythm, QRS axi1, bundle branch block, and ST 1egment1?
What i1 the 1ignificance of these change• and what complications can result?