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Noisy, low amplitude ECG in a patient with chest pain

Dr. Smith's ECG Blog

The patient was tremulous and severely hypoglycemic by point-of-care testing. Tachycardia is unusual for OMI, unless the patient is in cardiogenic shock (or getting close). This suggests thrombus (since the contrast does not penetrate the formed thrombus very well). We again see the L A D coursing anteriorly.

EKG/ECG 66