It's an early Sunday morning and it hasn't gotten that busy yet. You decide to go to the cafeteria and get some breakfast. As you sit down to start shoveling in the Western Hash Browns, a patient pops up the board. It is a a male in his 30's with a chief complaint of "chest pain". You click your name on, but figure you have time to eat a few bites before going in the room when the patient care tech who wheeled him back comes and tells you "hey, that guy doesn't look so good".
When you walk in the room you are faced with a diaphoretic young, slightly overweight male who complains of 7/10 left-sided chest pain. It has been going on since yesterday and he states, "I thought it was my anxiety acting up but it didn't go away." He has a HR of 90 and a blood pressure of 115/80.
The tech wheels in the EKG machine and obtains the following EKG:
After promptly telling your attending about the patient, ordering some labs and pain control you walk back in the room to check on your patient. The guy at this point looks decidedly peakish. You decide, as you should, to obtain a repeat EKG:
See the case conclusion HERE.