A 80 years old female, c/o sudden onset breathless and dizziness. Not a known case of Hypertension or cardiovascular diseases. O/E BP 120/80 mmHg Echoangiogram: mr :2/4 tr:2/4 Could it be anterior STEMI? Please explain.

5 Likes

LikeAnswersShare

rare possiblity in this ecg..plz carefully look at v3 lead..similar to De winter t waves ....that is STEMI EQUIVALENT.. PT NEEDS IMMEDIATE CAG AND PROCEED. .

I do agree with Dr suresh possibility of D WINTER T WAVE IN v3 suggesting proximal LAD LESION NEEDS TROP T ECHO IF RWMA THEN CAG TILL DIAGNOSIS NOT CONFIRMED I WILL GIVE LOADING DOSE
1

View 3 other replies

when u diagnose STEMI ,there should be ST elevation ,but in this ecg no St up take but QT is prolonged ,chek serum mg ,or congenital long QT syndrome, do serial ecg ,pocket holter for arrhythmias ,MR,TR on echo ,what about EF ,regional hypokinesia ,dimension of RA,RV ,LV do CXR may be in failure do CPK MB ,

no it's not anterior stemi do xray chest look other cause of breathlessness anaemia pneumonia. routine blood investigation electrolyte.

Ecg normal Look for other causes

Sinus bradycardia with ectopic beat,low voltage waves,otherwise normal,we have to go for supporting investigations like echo,serum electrolytes.

ECG normal, rule out diabetes.

Sir,Si.Bradicardiya is there..
0

View 1 other reply

Query is not sufficient for breathlessness and dizziness. There is no blood investigation like renal profile and TFT. Chest X-ray.

Sinus bradycardia, I feel only one ectopic beat in lead avl, otherwise normal,go for echo.

if there are symptoms, I think at least cardiac markers like Trop I and proBNP should be done. One might argue that there are anterior and septal ST changes, on the face of it, it doesn't look like a STEMI.

Normal Sinus rhythm

Load more answers

Cases that would interest you