Vignette: 75 yo with h/o HTN, hyperlidemia, AF, s/p PM
c/o nonpleueritic CP with no cough/fever
Non-paced beats (red boxes) are noted to have ST elevations in II, III and aVF with reciprocal changes in I and aVL. There are also ST depression and T wave inversion in V2 and STE V3 to V6.
Troponin ~5 and echo showed infero-posterior wall hypokinenia.
Cath showed lesion in the posterior descening artery.
Interpretation : Inferior Wall ST Elevation Myocardial Infarction (IWSTEMI) in a Patient with Pacemaker
Post a Comment
Note: Only a member of this blog may post a comment.