Monday, December 19, 2011

Not A STEMI


A 60 year old man with hypertension, arthritis, and multiple myeloma presents with constipation, anorexia, weakness, and nausea. As per usual ER protocol, he gets a CT abdomen which shows kidney stones as well as the multiple myeloma. He also gets an EKG, shown above.

Challenge: What's going on?

Image shown under Fair Use.

3 comments:

Dr.Mutaz said...

short QT interval

Steve Smith said...

Short QT interval due to Short ST segment. Hypercalcemia.
Steve Smith, Dr. Smith's ECG Blog

Craig Chen said...

yes! nicely identified
-
Not a STEMI

QT shortening is seen with hypercalcemia, which fits the signs, symptoms, and medical history here.

Sources: UpToDate; ECG Wave Maven.