Country cardiograms case 4
Jim Thompson, MD, CCFP(EM), FCFP
Sundre, Alta.
Clinical Associate Professor, Department of Family Medicine, University of Calgary, Calgary, Alta.
Can J Rural Med vol 2 (2):76
© 1997 Society of Rural Physicians of Canada
Case presentation
A 69-year-old man presented to a rural emergency department (ED) with a 1-hour history of severe epigastric pain that seemed to radiate between his shoulder blades. His arms felt tingly. The electrocardiogram shown below was obtained by the ED nurse soon after he arrived at the hospital Fig. 1.
What would you do next in your rural setting? See answer and discussion on page 87.
