Country cardiograms case 11
Gordon Brock, MD, CCFP; Vydas Gurekas, MD, CCFP
Temiscaming, Que.
CJRM 1999;4(1):31
Correspondence to: Dr. Gordon Brock, 180 rue anvik, Box 760, Temiscaming QC J0Z 3R0; fax 819 627-3629
This paper has been peer reviewed.
© 1999 Society of Rural Physicians of Canada
Case presentation
A 30-year-old roofer presented to the emergency department. He complained of an attack of left sternal pain and numbness in his arms, along with a feeling of wanting to belch that had occurred 2 hours earlier. The attack had lasted 5 to 10 minutes, but he had had a shorter 1- to 2-minute attack an hour later and decided to come to the hospital. He was a nonsmoker and said he had never been told he had cardiac disease. His electrocardiogram, obtained while he was pain free, is shown.
What is your differential diagnosis? See answer on page 39.
"Country cardiograms" is a regular feature of the Canadian Journal of Rural Medicine. In each issue we will present an electrocardiogram and discuss the case in a rural context. Please submit cases to Ms Suzanne Kingsmill, Canadian Journal of Rural Medicine, Box 1086, Shawville QC J0X 2Y0
