The patient was admitted with some vague chest discomfort. The initial EKG and troponins were normal, but they decided to admit the patient anyway for observation. Once on the ward after being given some heparin and aspirin, the patient was feeling perfectly fine - wanted to go home - but the second set of troponins returned positive. The first year resident decided to order a second EKG.
The EKG technician came dutifully, performed the EKG, and before she knew it, all hell broke loose:
|Click image to enlarge|
Fortunately, the patient did well after a quite bit of work in the cath lab.
Remember this story. It might just save a life.