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He reportedly told his family "I think I'm having a heart attack", then they immediately drove him to the ED, and he was able to ambulate into the triage area before he collapsed and became unresponsive. CPR was initiated immediately. It was reportedly a PEA arrest; there was no recorded V Fib and no defibrillation. (The
A 75 yo with h/o CAD, CABG, and HFrEF presented after a syncopal episode. He rehydrated and had no orthostatic symptoms prior to discharge, ambulated well. - Discussion Thus, no further ECGs were recorded and there was no angiogram or stress test or CT coronary angiogram. What do you think? No previous study for comparison.
This page summarises the most current recommendations for the management of acute coronary syndromes with persistent ST-segment elevations (i.e I B Ambulance personnel must be trained and equipped to identify STEMI and administer fibrinolysis if necessary. STEMI , ST-segment elevation acute myocardial infarction ).
Case A 68 year old man with a medical history of hypertension, hyperlipidemia, and CAD with stent deployment in the RCA presented to the emergency department with chest pain. As such, the patient was placed on a heparin drip and transferred by ambulance to a cardiac cath-capable facility. He had an EKG recorded right away.
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