A 74 years old male patient with history of hypertension only, he presented complaining of epigastric pain since one hour ago and vomiting at presintation, this is his ECG, whats your Dx? do you need to perform another ECG and why?
I would not repeat the ecg but I would jump to safety and do cardiac enzyme tests. All the inferior limb leads show what st segment elevation.
The diagnosis is inferior wall MI STEMI I would prefer Right side ECG
Inferior STEMI! Activate Cath lab, start aspirin and heparin bolus. Check labs while preparing patient for angioplasty. ST elevation in inferior leads with reciprocal changes in detail leads.
this guy has ST segment elevation in lead II, III and aVF, with reciprocal changes in lead I and aVR. guess there is an inferior MI happening. u should request posterior and right side ecg. u should also check cardiac enzymes such as Troponin and CK-MB for a definite diagnosis
bravo, he did have posetrior MI as well which makes management different
There is enough information here to know the patient is having an active heart attack. Would spending time with a posterior/right sided ekg be beneficial? Cardiac Cath will show you exactly where the lesion is and be ready to fix right away. does early revascularizarion have a correlation with better long term outcomes?
yes but the changes also suggest posterior MI as well, we need to do Right ECG to make sure he doesnt have posterior MI because management is diffrrent in posterior MI
