EMS1 ECG Challenge: The Missed Match

[Aprz]

http://www.ems1.com/columnists/Tom-Bouthillet/articles/1330576-ECG-Challenge-The-missed-match/

Too bad I replied pretty late. Everyone else already called out what I think is the correct answer, but I still tried pointing out specific features that make me think of the answer, or things that I would have expected, but didn't see it.

What do you guys think?

 

[Undaedalus]

12Lead presents with classic S1Q3T3 pattern, and Hx includes nocturnal dyspnea, dyspnea on exertion, plus a recent flight. Even without reading the comments this guy is a pretty textbook PE.

 

[Melclin]

I agree. Without the ECG this screams PE. With the ECG, it screams even louder.

I will be very interested to hear what this is if it isn't a PE.