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Challenges in Clinical Electrocardiography
Oct 22, 2012

ST-Segment Elevation: Alert the Catheterization Laboratory?

Author Affiliations
 

SECTION EDITORS: JEFFREY TABAS, MD; PAUL D. VAROSY, MD; GREGORY M. MARCUS, MD; NORA GOLDSCHLAGER, MD

Arch Intern Med. 2012;172(19):1439. doi:10.1001/archinternmed.2012.3624

A 51-year-old man was seen in the emergency department with a complaint of malaise, diarrhea, and weakness 1 week after starting treatment with hydrochlorothiazide, 25 mg per day, to treat hypertension. He had no other known medical history, was a lifetime nonsmoker, and had no family history of coronary artery disease. His blood pressure was 110/75 mm Hg, and his pulse rate was 100 beats per minute and regular. Results from a 12-lead electrocardiogram (ECG) were obtained (Figure 1).

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