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
darren
79 year old female CC: Chest pain – Conclusion
What concerns me is the total waste of time doing Right sided precordial leads in this case: to what end is this relevant when we already have clear evidence of inferior-Lateral MI. Time wasted doing that I think.
2015-01-31 15:01:35
darren
79 year old female CC: Chest pain – Conclusion
Infero-lateral MI therefore circumflex and not RV wall. Possibly posterior involvement but irrelevant.
2015-01-31 14:58:21
Anne
Adenosine for sinus tachycardia: Try to avoid this!
If it were me, I would seek a second opinion; consult an electrophysiologist. Unlikely that you had sinus tachycardia at that rate.
2015-01-26 09:46:57
John
Adenosine given for a narrow-complex tachycardia over 150
If things such as Sepsis, Drug Use, Medication issues, Anxiety, Pain, etc.. have been ruled out, and the rate is still >160 (or whatever number you use). How else do you determine S-Tach Vs. SVT? Does a 12 Lead Help (QRS Complexes facing different directions due to different pathways etc..) or a simple 4 Lead?…
2015-01-19 19:44:32
Brandon O
Adenosine for sinus tachycardia: Try to avoid this!
She may not have had anxiety, but I bet she was a carrier...
2015-01-18 02:31:08

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