Side profile torso with lead locations
Trend change
Patient
Lee, R.
M Age 70 • Room 204
Full Contact Fall Risk Allergies
Active Critical Alert
Active body alert

AI triage flagged a 9% probability of acute coronary syndrome based on ECG morphology and perfusion trends.

Location: Anterior chest leads V2–V4
Priority: High
Recorded: 14:23:15
Temp
98.4°
AVG 98.4
HRV
55
AVG 55
RR
18
AVG 17
HR
88
AVG 84
SpO2
97%
AVG 98%
BP
120
80
AVG 120/80
MAP
93
AVG
EtCO2
40
AVG 40
Δ
Δ
ECG II
88
bpm
ECG II
88
bpm
SpO₂
97
%
SpO₂
0%
%
ECG II
88
bpm
Status

Patient is resting.

Movement minimal • Vitals stable • Monitoring active.

Information

No active alerts.

All monitored parameters within expected range.

ECG waveform shows persistent ST elevation in V3/V4 with rising high-frequency variance, consistent with myocardial ischemia under sympathetic stress.

Blood pressure waveform reveals widened pulse pressure and occasional dicrotic notch blunting following nitroglycerin dose.

Pulse oximetry remains 94–95% but pleth variability increased 18% relative to baseline, aligning with reduced peripheral perfusion.

Suggested Actions
  • • Initiate STEMI protocol checklist and confirm cath lab availability.
  • • Draw repeat cardiac enzymes and prepare dual antiplatelet therapy per cardiology guidance.
  • • Engage respiratory therapy to verify mask fit and adjust FiO₂ if SpO₂ remains below 95%.
Policy Reference

Policy and reference links available.

Guidance is drawn from current institutional protocols and international best practices.

Follow Acute Coronary Syndrome rapid response pathway: activate cath lab if ST elevation persists 10 minutes after nitroglycerin.

Surviving Sepsis Campaign. Crit Care Med. 2021;49(6):933–941. DOI:10.1097/CCM.0000000000004965
07:00Baseline
PQD
10%