Quiz ECG 013

Scenario

A 49 year old woman presents to your emergency department with central chest pain.

His observations are:

Question

a. Describe and interpret her ECG (50%)
b. Outline your disposition considerations (50%)

Answer

FACEM VAQ Exam 2007.1 – Question 7

  • Overall pass rate for this question was 32/55 (58.2%).
  • ECG showed widespread T wave inversion, concave up ST elevation and PR depression inviting in this clinical context a discussion re a number of differentials.
  • This was viewed as a difficult but relevant ECG which was satisfactorily interpreted by most candidates.
  • The discussion re echocardiography was generally superficial and was the major reason for poor scores.
  • Further controversial analysis of the ECG

ACEM Fellowship Visual Aid Questions

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About Mike Cadogan

Emergency physician with a passion for medical informatics and medical education. Founder of GMEP and HealthEngine. Asynchronous learning and #FOAMed evangelist | @sandnsurf | + Mike Cadogan | Contact