31 yr m chest pain since last 3 hrs . Radiating to both shoulders

31 yr m Chest pain since last 3 hrs . Radiating to both shoulders and back . Nausea +/ headache + . No other relevant medical history . Pulse : 62/min Bp: 132/67mmhg spo2:100 - further management !!

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Inferoposterior Wall MI, Since the patient is in window period discuss with cardiologist and arrange for PCI give loading doses of Tab Disperin 325 mg Stat, Tab Clopilet 300 mg Stat, tab Atorvastatin 40mg Stat, Inj heparin 5000 IV Stat, Obtain bedside CXR and 2D echo, cardiology consultation and CAG

32 YEARS OLD MALE PATIENT NO RELEVANT MEDICAL HISTORY CHEST PAIN SINCE LAST 3 HOURS RADIATING TO BOTH SHOULDERS SND BACK NAUSEA HEADACHE CARDIOLOGIST CONSULTATION ECG TROP T EXERCISE TEST ECHO INVESTEGATE ON LINES OF CARDIAC PROBLEM

Acute Inferior Wall STEMI + true posterior Ml Poor progression of R in V3 to V6-- probably rt. Sided leads were taken. Do repeat ECG, echo Revascularization is the treatment of choice- either thrombolysis or primary PCI Start loading medications for ACS .

Inferoposterior wall MI with VPCs. Give loading dose of aspirin 325 mg, clopidogrel 300 mg, atorvastatin 80mg If facility for PCI present go for primary PCI. In a non PCI centre can go for thrombolysis after excluding the contraindications.

Evolving inferior wall myocardial infarction. ventricular premature complexes reciprocal changes anterior leads v1-v3. poor r wave progression in v3-v6. ??q wave not seen clearly in v5,v6. lmwh antiplatelet agent nitrates statins. adv CAG,2D echo, cardiac monitoring.

It's a case of infero posterior wall myocardial infarction.

It's a case of inferoposterior wall myocardial infarction.

This is a case of inferio-posterior MI , If saturation is down never thrombolysed in peripheral or rural area because of chances of severe MR or cardiac failure . So pls give him inj lmwh sc and antiplatelate and statin shift him immediately for PAMI . and further cardiac intervention. Which was i have seen in my expierience .

Sinus bradycardia. IWMI+ PWMI .VPC Treat along the line of STEMI . Atropine for bradycardia.

Acute IW STEMI first degree AV block sinus bradycardia thrombolysis with sos pacing

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