- HPI:37F p/w chest pain x 5 hr Course: troponin negative, pt discharged home. 12 hours later the patient was found collapsed at home with no signs of life.
- Key ECG: The T-waves are huge in proportion to the QRS, the QRS amplitude is very small, the T-waves are symmetric and fat, there are sagging ST segments in I, II, V3 and V4. V3 should have some ST elevation, but it actaully has a bit of ST depression. These should be thought of as subtle de Winter’s T-waves.
- Link to full case @ Dr. Smith’s ECG Blog: