Scenario
A 54 year old man with no prior medical history presents to your emergency department with one hour of chest pain. He is anxious and diaphoretic.
His observations are:
Question
a. Describe and interpret his ECG (100%)
Answer
FACEM VAQ Exam 2010.1 – Question 1
- The overall pass rate for this question was 25/70 (35.7%)
- ECG demonstrates Atrial fibrillation, 145 / min, with ST elevation consistent with Inferior / Posterior infarction.
- Pass criteria:
- Correct rate (eg average (rate 144) or range (110-150)
- Correct rhythm (AF)
- Description / Diagnosis of STEMI
- Location of AMI – Inferior
- Description of anterior changes (ST depression)
- Posterior AMI considered
- Features of unsuccessful answers:
- Rate omitted or incorrect (within acceptable range)
- Rhythm omitted or incorrect
- Omission of STEMI or inferior AMI
- Failure to consider posterior AMI
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