
▲ 0 r/ECG
35 year old male, complains of presnycope after about 7 steps prior drug history, one collapse.
Dealing with this lovely gentleman with more ER admissions then I have fingers and toes.
I fear our ER Consultant has told him this is a normal ECG (that is no obvious acute infarct...) due to our tox screen coming back positive for Methamphetamine and his prior history.
I am not qualified to read this ECG yet, however does this not have have all the hallmarks of acute Pericarditis, with ongoing ischemia likely caused by massive Vasoconstriction? And LVH or P Mitrale?
Id like to help this man before he is discharged he's in overnight on Gylcophos.
Thank you.
Unfortunately I'd like to keep my job for tonight so I will keep my mouth shut until I can talk with the Patient Liaison Team
u/IshziK — 11 days ago