An 86-year-old man with a history of hypertension, hyperlipidemia, cardiomyopathy, and our-vessel coronary artery bypass five years prior presented to the emergency department (ED) with one hour of sudden-onset retrosternal, pressure-like chest pain radiating to the left arm. The patient was afebrile with reassuring hemodynamics, well-appearing, and with an unremarkable physical examination. The ECG obtained in the ED is shown above.
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This article was published in Annals of Emergency Medicine, 82, Saffire LM, Niforatos JD, Valentine J, et al, Sgarbossa negative with concordant ST depression—occlusion myocardial infarction diagnosed by the BARCELONA Algorithm, 475-477, © 2023 by the American College of Emergency Physicians.
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