Concluded Case

Emergency EKG diagnosis

plz diagnose ECG.pt50yrsM with pain chest since 4hrs with sweating

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Concluded answer
Pl ADD = A NORMAL ECG DOES NOT EXCLUDE M I IN NSTMI = ECG MAY BE NORMAL NEED SERIAL ECG BLOOD TROP I TO OBSERVE FEW HOURS RELIEF PAIN CHEST = NITROGLYCERINE BLOOD = ABG SUGAR CREATININE O2 INHALATION IF Pa O 2 < 85 % INJ MORMHINE = SOS IM IF TROP I + VE > 100 PERCENTILE CAG & PCI IF -VE = & PT IS SYMPTOM FREE FOR FEW HRS = STRESS ECG IF + VE = CAG ----> PCI -- VE = DD
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Ecg is recorded at Half St depression in v2 to v6 Subendocardial ischemia
Pl ADD = A NORMAL ECG DOES NOT EXCLUDE M I IN NSTMI = ECG MAY BE NORMAL NEED SERIAL ECG BLOOD TROP I TO OBSERVE FEW HOURS RELIEF PAIN CHEST = NITROGLYCERINE BLOOD = ABG SUGAR CREATININE O2 INHALATION IF Pa O 2 < 85 % INJ MORMHINE = SOS IM IF TROP I + VE > 100 PERCENTILE CAG & PCI IF -VE = & PT IS SYMPTOM FREE FOR FEW HRS = STRESS ECG IF + VE = CAG ----> PCI -- VE = DD
NORMAL ECG
Normal.