I didn't see any significant difference on the ECG taken 11 minutes after his pain began nor on the one taken 35 minutes after, at least initially. Is the computer missing anything in these ECGs? ECG Analysis 1.), and a second repeat ECG was read the same. The computer read the first repeat ECG as a normal sinus rhythm at 83 bpm (Fig. His vital signs were normal, as was his physical exam initially, but eventually he started to look a bit pale and diaphoretic. He had another episode of pain, however, while at rest in the ED about three hours after arrival, and a repeat ECG was ordered. FigureĪ patient in his mid-60s had been having intermittent chest pain for three weeks, and the hospitalist wanted to send him home if his second troponin was negative, as I wrote last month. The patient's repeat ECG about 11 minutes into the pain he felt at rest.
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