case_images: PMC11259486_01
case_images: Electrocardiogram from the first ED visit. Heart rate: 76 | PR interval 162 | QTc 413 | Occasional premature ventricular complexes | Q-waves in inferior leads indicating old infarct | No ST-T wave changes.
case_images: jchim-14-03-102f1.jpg
case_images: PMC11259486_01_jchim-14-03-102f1.jpg
case_images: f1-jchim-14-03-102
case_images: ST-T wave changes (Fig. 1); however, prior EKGs were not available for comparison. Serial troponins were not elevated.
case_images: Timeline of events from symptom onset. ED: Emergency department; EKG: Electrocardiogram; CTA: CT angiography; NTG: Nitroglycerin; ASA: Aspirin; SPECT: single-photon emission CT; MSK: Musculoskeletal; CABG: Coronary Artery Bypass Graft; NSAID: Nonsteroidal anti-inflammatory drugs.
case_images: jchim-14-03-102f2.jpg
case_images: PMC11259486_01_jchim-14-03-102f2.jpg
case_images: f2-jchim-14-03-102
case_images: The timeline of events is provided in Fig. 2.