Tag Archives: inferior mi

66 year old male CC: Chest pain

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Here's an interesting case that illustrates the value of the prehospital 12 lead ECG. A 66 year old male became suddenly ill while playing tennis. Bystanders state that he struck the ball with his racket, staggered a few steps, placed his hand over his chest, and sat down on the tennis court. 9-1-1 was contacted […]

Right ventricular infarction – Part I

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Right ventricular infarction. What is it and why should you care? Depending on what you read, right ventricular infarct may complicate up to 40 or 50% of all inferior MIs. Remember, when we say “inferior MI” or “anterior MI” we’re talking about the inferior wall of the left ventricle or the anterior wall of the […]

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Comments
Matt King
59 Year Old Male: Unwell
This is A-Fib(irregularly irregular) with aberrancy(RBBB) coupled with a STEMI. There is ST elevation in lead I, avL, v4-v5 with reciprocal changes in II, III, & avF. Taking the assessment into account and PMH, this is not a rate/rhythm issue, this is a dying heart issue. That said I still wouldn't treat the rate or…
2015-07-01 14:45:39
Vince DiGiulio
Conclusion to Snapshot Case: 85yo M – Chest Pain
Was pulling some links from this discussion for another article and your comment got me thinking a bit. Here's my take on aVR and LMCA lesions (which is pretty much just a re-phrasing of yours)... If you have an LMCA NSTEMI (meaning diffuse subendocardial ischemia with diffuse ST-depression) you're always going to get ST-elevation in…
2015-07-01 08:23:39
Laurie
59 Year Old Male: Unwell
Good thinking, Martin! Sometimes the best thing to do is nothing but treat the patient, not the monitor!!
2015-07-01 02:28:23
Nicole
59 Year Old Male: Unwell
Looks like acute MI and possible aspiration. I say intubate to protect airway and give meds to calm pt and regulate BP with fluids and pressors. Get pt to nearest hospital to stabalize and they can fly him/her to closest Cath lab. Time is life....or death. just do what you know! ABC's...or I guess its…
2015-07-01 02:23:22
Thomas
59 Year Old Male: Unwell
VT is dead regular (pun intended). This is A-fib with a rapid ventricular response and aberrancy. He feels crappy due to decreased cardiac output and he has SOB due to pulmonary congestion. CPAP is a good choice me thinks.
2015-07-01 01:45:22

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