Vodcox

I was always led to believe that Cocaine use was one of the causes of Prinzmetal's Angina.

http://en.wikipedia.org/wiki/Prinzmetal's_angina

Still right to treat as MI

Edit: More here...

http://content.nejm.org/cgi/content/full/349/1/e1

I was also taught this

Holy hypertrophy!

-Looks like we have a regular, wide-complex tachycardia at a rate of about 150 with the occasional (probably ventricular) ectopy.

-There appear to be P-waves of consistent morphology and a regular PR interval.

-The mean QRS axis is within the normal range and R wave progression through the anterior leads is good.

This is likely an atrial tachycardia with LBBB abbarancy. The standout part of the ECG though is definitely the huge QRS amplitude, which is probably due to hypertrophy. Both the left bundle and the hypertrophy are factors that mess with the ST segment, so this ECG is non-diagnostic for ischemia/infarct without more info from the story/presentation.

What kind of machine printed that 12 lead by the way? Its weird.

It is a Phillips monitor, not sure of the exact model

I want to know some oppinions on what this rhythm is.

CC: Resp. Diff. - 86 y/o F.