Scenario
A 57 year old woman presents with an episode of 8 hours central chest pain which resolved spontaneously two hours ago.
She has a past history of type 2 diabetes mellitus and is on no regular medication. Her vital signs are normal.
Question
Describe and interpret her ECG (100%)
Answer
FACEM VAQ Exam 2009.2 – Question 1
- The overall pass rate for this question was 50/67 (74.6%).
- ECG showing sinus rhythm with widespread ST segment elevation and T wave inversion in inferior and anterior distribution with ischaemic morphology characteristics. No pathological Q waves orfeatures of pericarditis.
- Pass criteria:
- Adequate description of ECG features, with recognition that the ECG highly suggestive of ischaemia, potentially Wellen’s syndrome or new ACS, rather than other causes of widespread ST change.
- Good quality answers demonstrated understanding of the significant importance clinically of this interpretation.
- Fail criteria:
- Poor quality ECG description / interpretation with no demonstration of understanding its clinical significance
ACEM Fellowship Visual Aid Questions
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