Wednesday, 11 November 2009

ECG Case study - 007



52 YEAR-OLD MALE WITH CENTRAL CHEST PAIN, NON-RADIATING, EPISODES OF SHORTNESS OF BREATH, NAUSEA, NO VOMITING. PT HAS ATTENDED THE EMERGENCY DEPARTMENT ON NUMEROUS OCCASIONS WITH THE SAME PROBLEM, BUT NOTHING CARDIAC RELATED HAS BEEN FOUND. THE PATIENT ON SCENE WAS TREATED WITH 100% O2 VIA NON REBREATHING MASK, GTN SPRAY, 300MG OF ASPRIN AND ALERTED TO THE EMERGENCY DEPARTMENT.

HEART RATE: 67
BP 137/56
SPO2 100% O2
RR: 18


AMI OR "HIGH TAKE OFF" WHAT DO YOU THINK?
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1 comment:

  1. I think this guy was working on his bills, or another stressor, earlier in the day and is now experiencing anxiety induced coronary spasms, Prinzmetal's Angina, along with a degree of dehydration. A dose of Vallium and a little fluid therapy would probably releive his SxS. A change of diet would possibly help keep him out of the ER in a few weeks. Of course, a little more info about events leading up, prior Hx, Medications, and labs may completely change my thoughts on this.

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