An Evolving Myocardial Infarction

Abstract

Scenario: This is a routine postoperative 12-lead ECG waveform. The patient is an 85-year-old white woman who has been admitted to the cardiothoracic intensive care unit (ICU) after undergoing abdominal aortic aneurysm repair. In following with the cardiothoracic ICU’s critical care pathway, the patient should be aroused and extubated within the next 4 hours. ECG PUZZLER A regular feature of the American Journal of Critical Care, the ECG Puzzler addresses ECG interpretation for clinical practice. We welcome letters to the Editors regarding this feature.