Late 30s y/o male meth user, admitted for AKI and rash, develops acute CP, diaphoresis, bradycardia, SOB and the following ECG. Cardiac #Catheterization is 100% normal. LV gram normal. Vitals stable. Pain unremitting with morphine. What's the DDx??!
Prinzmetal angina Get echo done
As a cath is normal so D / D Prinzmetal Angina Dynemics lysis of clot Myopericarditis Echo needs
Get d history of iv use of drugs Infective endocarditis may lead to vasoactive spasm Check echo Crp Blood culture Repeat echo after 15 days If he is iv drug user
Ecg changes are typical of stemi inferior wall and coronary arteries are normal ,what are different possibilities , cardiology peoples can throw light on the issue because it's seen occasionally in real cardiac practice
Sometimes Aortic Dissection can present with similar ECG findings ST Elevation in inferior (2,3,AVF with depressions in I,AVL
ACUTE INF WALL STEMI
Heart block with bradycardia with inferior wall infarction
Coronary artery vasospasm Prinzmetal angina
COronary artery spasm Prinzmental angina
Acute inf wall MI
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