ECG Test – Quiz 2 – Acute Coronary Syndromes

A 57-year-old male, a long-term smoker with a history of controlled hypertension, wakes up in the middle of the night with severe, crushing chest pain radiating to his left arm and jaw. He reports a recent increase in episodes of chest discomfort during exertion. His father had a heart attack at 60. The patient is pale, diaphoretic, and in distress. The patient’s ECG is presented below. What is the diagnosis?

A 64-year-old female, diabetic, and obese patient presents with a sudden onset of shortness of breath and chest pressure while walking. She mentions occasional episodes of chest pain over the past month, which she attributed to acid reflux. Her brother had a coronary artery bypass grafting at age 69. She appears anxious and dyspneic. The ECG is presented below. What is the diagnosis?

A 53-year-old male, with no known history of heart disease, experiences intense, constricting chest pain that started while he was shoveling snow. The patient has a 20-year history of smoking and a sedentary lifestyle. He experienced palpitations and a brief syncope just prior to arrival to the emergency room (ER). The patient’s ECG is presented below. What is the diagnosis?

A 68-year-old female, with a history of gastritis, hypertension and hypercholesterolemia, reports sudden, sharp chest pain radiating to her back, accompanied by nausea. The patient is breathless and appears somewhat anxious. The patient’s ECG is presented below. Which is the next appropriate step?

A 60-year-old male with a recent diagnosis of type 2 diabetes and a 20-year history of smoking experiences sudden, severe chest discomfort and a feeling of pressure on his chest. Today, while resting at home, the discomfort escalated rapidly into unbearable pain, prompting an emergency call. Upon arrival, the paramedics note that the patient is pale, diaphoretic, and experiencing severe respiratory distress. They immediately perform a 12-lead ECG. As they prepare for transport, the patient suddenly loses consciousness and goes into cardiac arrest with a shockable rhythm. A prompt defibrillation successfully restores sinus rhythm. The patient is rapidly transported to the hospital. The patient is conscious, and stable but continues to experience chest pain upon arrival. The patient’s ECG is presented below. What is the next appropriate step?

A 55-year-old female, with a history of smoking and obesity, experiences sudden onset of severe chest pain while resting. She reports experiencing mild chest discomfort and breathlessness during exertion in the past few weeks. She has a family history of heart disease. The patient’s ECG is presented below. What is the diagnosis?

A 49-year-old male, with a high-stress job and a history of occasional chest discomfort, experiences intense substernal chest pain that started during a heated argument. He has a history of hypertension. The patient’s ECG is presented below. What is the diagnosis?

A 67-year-old male presents with acute chest pain and a feeling of tightness that began while he was climbing stairs. He has been experiencing short episodes of dyspnea over the past month, especially during physical exertion. The patient’s ECG is presented below. What is the diagnosis?

A 58-year-old female, with a history of left ventricular hypertrophy and heart failure, suddenly experiences chest pain and tightness while walking her dog. She has never experienced such symptoms before. The patient appears anxious and slightly breathless. The patient’s ECG is presented below. What is the diagnosis?

A 62-year-old male, with a history of smoking and controlled hypertension, reports abrupt onset of severe chest pain radiating to his neck, starting while watching television. The patient’s ECG is presented below. What is the diagnosis?

A 64-year-old female, with a recent history of unexplained fatigue and mild chest discomfort, experiences sudden, severe chest pain radiating to her right shoulder, accompanied by shortness of breath. The patient’s ECG is presented below. What is the diagnosis?

A 42-year-old female presents with sudden onset of fatigue and lightheadedness while shopping. She reports a vague discomfort in her upper abdomen. Her blood pressure is 100/60 mmHg. On examination, she appears anxious and reports feeling unusually short of breath. The patient’s ECG is presented below. What is the diagnosis?

A 50-year-old male, with a known history of depression, calls emergency services reporting intense emotional stress followed by a sudden, sharp pain in his chest. He has no prior history of heart disease and leads an active lifestyle. On arrival, the paramedics find him sweating and in moderate distress. The patient’s ECG is presented below. What is the next appropriate step?

A 37-year-old female, with no significant medical history, experiences a sudden onset of palpitations and a feeling of impending doom. She reports a mild, non-specific chest discomfort and a recent increase in stress at work. Her vitals are stable, but her blood pressure is 240/120 mmHg. The patient’s ECG is presented below. What is the diagnosis?

A 67-year-old male with a history of COPD presents with increasing shortness of breath and a productive cough. During examination, he suddenly complains of chest pain radiating to his throat. He appears pale and diaphoretic. The ECG is performed immediately, as presented below. What are the key considerations in this case?

A 55-year-old female, with a history of rheumatoid arthritis and on chronic steroid therapy, experiences sudden chest pain while swimming. She initially attributes it to her arthritis but calls emergency services when she starts feeling nauseous and dizzy. On arrival, she is hypotensive and tachycardic. The patient’s ECG is presented below. What is the diagnosis?

A 48-year-old male, who is a known alcoholic, is brought in by his friends for sudden onset of severe chest pain and vomiting after a heavy drinking session. He has no known history of heart disease. He appears disoriented and his vitals are unstable. An ECG is performed urgently. The patient’s ECG is presented below. Which alternatives below are correct?

A 70-year-old female, with a history of hypertension, experiences sudden, sharp chest pain and collapses during a family gathering. CPR is initiated immediately by family members. On arrival, paramedics find her in cardiac arrest with a shockable rhythm. After successful resuscitation and return of spontaneous circulation (ROSC), an ECG is obtained. The patient’s ECG is presented below. What should be the immediate management?

A 65-year-old male with a history of chronic back pain experiences a sudden, intense pain in the middle of his back while lifting groceries. He initially dismisses it as a muscle strain but then develops shortness of breath and mild chest discomfort. He has a history of smoking and his father had a heart attack at 60. On examination, he is tachycardic and appears uncomfortable. The patient’s ECG is presented below. What is the diagnosis?