• 30 ECG cases survey

  • What is your current role in the healthcare field?*
  • Image field 196

  • Case 1

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 226

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 1 pathway*
  • C1) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 2

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 239

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 2 pathway*
  • C2) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 3

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 241

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 3 pathway*
  • C3) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 4

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 253

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 4 pathway*
  • C4) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 5

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 255

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 5 pathway*
  • C5) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 6

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 257

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 6 pathway*
  • C6) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 7

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 259

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 7 pathway*
  • C7) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 8

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 261

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 8 pathway*
  • C8) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 9

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 263

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 9 pathway*
  • C9) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 10

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 265

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 10 pathway*
  • C10) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 11

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 267

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 11 pathway*
  • C11) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 12

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 269

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 12 pathway*
  • C12) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 13

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 326

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 13 pathway*
  • C13) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 14

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 325

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 14 pathway*
  • C14) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 15

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 323

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 15 pathway*
  • C15) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 16

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 321

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 16 pathway*
  • C16) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 17

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 319

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 17 pathway*
  • C17) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 18

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 317

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 18 pathway*
  • C18) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 19

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 315

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 19 pathway*
  • C19) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 20

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 313

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 20 pathway*
  • C20) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 21

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 311

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 21 pathway*
  • C21) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 22

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 309

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 22 pathway*
  • C22) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 23

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 307

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 23 pathway*
  • C23) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 24

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 305

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 24 pathway*
  • C24) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 25

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 303

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 25 pathway*
  • C25) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 26

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 301

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 26 pathway*
  • C26) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 27

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 299

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 27 pathway*
  • C27) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 28

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 296

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 28 pathway*
  • C28) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 29

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 294

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 29 pathway*
  • C29) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*

  • Case 30

    A 40-year-old patient presenting with chest discomfort and an initially undetectable high-sensitivity cardiac troponin I level.
  • Image field 292

  • Based on your daily clinical practice, what pathway will you take?

    A) Start reperfusion therapy immediately (fibrinolytics or PCI), despite that this ECG does not meet STEMI criteria, and send for a second high sensitivity troponin I.


    B) Manage as Non-STE Acute coronary syndrome, do serial ECGs, and send for serial high sensitivity troponin and Echo.

    C) This ECG is non-diagnostic for ischemia, repeat ECG and troponin test.

  • Case 30 pathway*
  • C30) Please select all leads in which you identify hyperacute T waves, if present. You can select more than one.*
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