49yr ,k/c/o T2DM, DYSLIPIDEMIA on medications , presented with central chest pain for 12hrs, which started just after dinner last night , with radiation towards RT hand, & Profuse sweating. Vitals stable. ECG & CXR on presentation at ED furnished here. Diagnosis & ideal line of MANAGEMENT ??

2 Likes

LikeAnswersShare

Ecg shows ac. Inf. Myo infraction. St Elevation in II, III, Avf. Pl. Do ck mb, trop- t. Pt. Had thromolyse with urokinsae 15 lakh iu. Inj. Lmwx 0.6 ml 12 hrly. Load tab. Ecosprin 350 mg, tab clopigral 600 mg tab station 80 mg. If cardiologest avalable do PAMI. 2 D ECHO .

Rhythm regular 100bpm Axis normal St elevation in Lead 2,3&avf Q wave in Lead 3 St depression in Lead v1, 2,&3 Inferior wall mi S. Troponin is high Rbs is too high

Everything right but the Rhythm which is Atrial FIBRILLATION
0

It's a case of inferior wall myocardial infarction.

STEMI INFERIOR WALL A F Rx PRIMARY PCI .AFTER CAG

Inferior pos MI Intermittent Afib else sinus arrhythmia

Inferoposterior MI with A fib

Y r u saying it Posterior Assoc with Iwmi ??
0

View 6 other replies

Acute inferoposterior Wall m i , Atrial Fib

Inferioposterior mi Cath

Acute iwmi with reciprocal st t changes in anterior leads

Load more answers

Cases that would interest you