Concluded Case

Nstemi w cardiogenic shock w hf w copd w ? Mass rt lz

58 male w profuse sweating w left sided chest pain since 3 days palpitation Bp 180/110 P 120 arnd Spo2 92% RA S/e rs bil lz crepts Cvs s1s2 Cns intact Loading done Cardiac enzymes sent awaited

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Concluded answer
RISK FACTORS FOR CAD 1 MALE 2AGE 58 3 UNCONTROLLED HTN LEFT SIDED PAIN CHEST SWEATING ++++ Spo2 92 % tachycardia basal crepts + + ECG = sinus tachycardia axis + 165° lae rbbb inferior wall stemi anteroseptal & lateral wall Ischemia Lvf ( no mention of S3 S4 ) RX O2 INHALATION STATIN DUEL ANTIPLATELETS DIURETIC NITROGLYCERINE ACE I / ARB PT HAS REPORTED AFTER 72 HRS OF PAIN CHEST I F THERE IS NO PAIN CHEST & ECHOCARDIUM SHOWS NO RWMA & LVEF IS GOOD ROUTINE PCI AFTER 72 HOURS MAY NOT BE NECESSARY
All Answers
RISK FACTORS FOR CAD 1 MALE 2AGE 58 3 UNCONTROLLED HTN LEFT SIDED PAIN CHEST SWEATING ++++ Spo2 92 % tachycardia basal crepts + + ECG = sinus tachycardia axis + 165° lae rbbb inferior wall stemi anteroseptal & lateral wall Ischemia Lvf ( no mention of S3 S4 ) RX O2 INHALATION STATIN DUEL ANTIPLATELETS DIURETIC NITROGLYCERINE ACE I / ARB PT HAS REPORTED AFTER 72 HRS OF PAIN CHEST I F THERE IS NO PAIN CHEST & ECHOCARDIUM SHOWS NO RWMA & LVEF IS GOOD ROUTINE PCI AFTER 72 HOURS MAY NOT BE NECESSARY
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Sinus tachycardia, RAD, RBBB, RVH, De winter T wave.equivalent to anterior mi. Needed cardiac enzymes.
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Inferior wall mi with posterior wall mi delayed presentation . Need echo and cath
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