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hi everyone this is dr pruitt welcome to this weekamp;#39;s ekg weamp;#39;re going to start with an 82 year old male who has a history of several previous heart attacks he tells you so we know he has coronary artery disease and he also has high blood pressure and he is presenting with chest pain that feels just like his last heart attack so itamp;#39;s a very concerning presentation he tells you heamp;#39;s already taken four nitroglycerin to help with the pain and it didnamp;#39;t get better so you get your vital signs right away looks like a heart rate of 55 little slow but not terrible blood pressure 128 over 77 iamp;#39;m happy to see that with all that nitro heamp;#39;s got on board 97 on room air everything else checks out we want to get a 12 lead right away within the first five minutes of arrival for this guy if we can this is what you see let you take a look see what you think about it then weamp;#39;ll go through it together start same way every time so the first ques