Author: Charles Nwankpa, Jolene Rosario / Editor: Jessie Lynch / Codes: / Published: 03/12/2025
The red phone goes off and you receive a pre-alert for a 68-year-old man with a prior history of MI in 2007. He has had a pre-syncopal episode and has an abnormal appearing ECG. Two days ago, he had an episode of cardiac sounding chest pain and used his GTN spray which relieved the pain. He is currently asymptomatic.
On arrival to resus, following a handover, he is connected to the monitor and a quick 12 lead ECG has been done. (The ECG is shown below) His initial set of observations are:
Respiratory rate 14 breaths per minute
Heart rate 188 beats per minute
Blood pressure 100/64mmHG
Oxygen saturation of 98% on air.
