12 Leads of Truth

(Verse 1 – History Takes the Seat) Age in the chart, I read it close Meds on the list that matter most Viagra, Levitra, Cialis too Nitrates and pressure—what can we do Past history writes the risk in ink MI before? Angina link? Diabetes hiding silent pain Post-menopause changing the game Allergies checked, don’t miss a line Exertion recent, pushing the line OPQRST starts to unfold Every detail helping me know (Pre-Chorus) Onset sharp or pressure tight? Radiating out in the dead of night? Jaw or arm, epigastric burn Every clue is what I learn (Chorus) Chest pain call, but I don’t assume Could be angina or a heart in doom STEMI hiding in a 12-lead trace Time is muscle, we don’t waste space Pale and sweaty, nausea rise Short of breath behind their eyes From the monitor to the cath lab door We move like time is something more (Verse 2 – Signs and Patterns) Substernal vice, crushing weight Radiation we can’t negate Jaw, neck, shoulder, left arm pain Cold diaphoresis, pressure gain Dizzy, weak, they start to fade Women often show it unnamed No textbook chest, just silent signs But the heart still crosses the line (Pre-Chorus) Differential runs in my head PE, dissection, asthma instead Pericarditis, reflux pain But MI is what we can’t delay (Chorus) Chest pain call, but I read the trace Every waveform in its place ST elevation if it meets the test One millimeter in leads at rest V2-V3, thresholds change Men, women—criteria range Time is tissue, we don’t delay We transmit, we move, we play the game (Verse 3 – Treatment in Motion) Aspirin chewed, 81 times four Or three-twenty-five to open the door Nitro under tongue, watch the pressure line SBP rules what we define No Viagra, Levitra, Cialis in play Or hypotension takes them away SL repeat up to three as planned If pressure allows, we take a stand IV or IO, access quick EtCO₂ watching every tick Fluids if needed, 250 to five Keep the coronary patient alive Morphine low or fentanyl choice Calm the pain, reduce the noise Heparin weight-based, cath lab call We prepare for the coronary wall (Bridge – ECG Truth) Serial 12-leads every ten Watching changes again and again Wellens waves or De Winter sign Left main occlusion we might find T waves tall or inverted deep Silent ischemia doesn’t sleep If suspicion rises, we don’t wait We activate cath lab before it’s late Pads go on, anterior-posterior set Because cardiac arrest is a threat we don’t forget (Chorus) Chest pain call, but we act fast Because this moment might be the last Keep scene time under ten minutes max No hesitation in the cardiac track From aspirin chew to nitro spray We’re buying time in every way Until that cath lab takes control And saves the heart inside the soul (Verse 4 – The Reality of ACS) Men or women, young or old Diabetics with stories untold Shortness of breath may be the sign No chest pain, but still the line Back pain, jaw pain, silent cue Weakness only—still acute We don’t miss what doesn’t fit We treat the patient, not just the script (Outro – Transfer of Care) ECG sent, cath lab ring Destination ready for everything Heparin in, nitro done We’ve done our part, the race is run And as the doors at the hospital close We wonder how far that artery goes One more heart on the edge of war— Saved by the rhythm we worked before.