Concluded Case

STEMI WITH RBBB

INTERPRET THIS ECG??

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Concluded answer

STEMI with RBBB ( inferior wall ischaemia) There looks like a trans mural myocardial ischaemia, a type of type 1 M.I with acute coronary athero- thrombotic myocardial injury with complete and persistent occlusion of blood flow Patient should urgent PCI ( percutaneous intervention ) - fibrinolytic therapy. Followed by high dose statins, Aspirin and ticagrelor should be preferred to Clopidogrel

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STEMI with RBBB ( inferior wall ischaemia) There looks like a trans mural myocardial ischaemia, a type of type 1 M.I with acute coronary athero- thrombotic myocardial injury with complete and persistent occlusion of blood flow Patient should urgent PCI ( percutaneous intervention ) - fibrinolytic therapy. Followed by high dose statins, Aspirin and ticagrelor should be preferred to Clopidogrel

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Case of Rbbb with lnferior wall st elevation St depression at anteriolateral wall Case be patient in MI state of of anteriolateral wall Give loading dose See for 2 D echo and cardiac enzyme with normal blood routine Repeat ecg after 2 hours after loading dose Strict monitoring for it Angiography needed might be angioplasty will needed

Valuable opinion
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With an anteroseptal infarction, abnormal Q waves in right precordial leads is mostly manifest during RBBB showing the classical qRBBB pattern, due to delayed activation of the right ventricle. Very rarely, early depolarization of the right ventricular free wall could mask the abnormal Q waves in some patients with an anteroseptal

Hyperacute IWMI with reciprocal changes in anterior wall. The reciprocal changes are gross and raise the possibilty of Triple Vessel Disease Thrombolysis, Angio

Thank you,Doctor
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Rbbb inferior wall infarct st depression in anterolateral leads admit 2 d echo angiography then angioplasty or cabg

ECG .. RBBB.. ? STEMI .. NEED'S.. 2D ECHO STUDY.. ANGIOGRAPHY.. CARDIOLOGISTS OPINION..
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Acute st depression in L1 avr avl V1V2V3 V4V5V6 elevation in L2 avf Acute inferolateral ischimia

Thanx dr Rajendra Rai
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ACUTE INFERIOR WALL MYOCARDIAL INFARCTION WITH RECIPROCAL CHANGES IN ANTERIOR LEADS WITH RBBB

COMPLETE q RBBB/STEMI DO 2D ECHO , LIPID PROFILE, CARDIAC PROFILE, PTIN/APTT/ CXR P/A

Thanx @Dr. Sarfaraz Pathan Ji
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STEMI Need urgent PCI Stabilized the patient and refer to higher center ..

Acute iwmi with reciprocal changes in anterior wall leads and rbbb.

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