scratrat Posted July 20, 2007 Share Posted July 20, 2007 HOLY CRAP!!! I thought you said earlier that the 12 lead was normal??? That would an inferior MI c/ lateral extension. Or, commonly called, you gonna die! Link to comment Share on other sites More sharing options...
ERDoc Posted July 20, 2007 Author Share Posted July 20, 2007 HOLY CRAP!!! I thought you said earlier that the 12 lead was normal??? That would an inferior MI c/ lateral extension. Or, commonly called, you gonna die! I never said anything about the 12-lead (for obvious reasons). This guys only outward sign was the hypotension. He ended up getting a cath which showed significant disease in the RCA. It couldn't be stented and he was not a surgical candidate. His prognosis is extremely guarded. Link to comment Share on other sites More sharing options...
scratrat Posted July 20, 2007 Share Posted July 20, 2007 Oh, I see mwhy I said that. A couple of people asked about the ECG and you must not have seen that so you didn't reply. I had thought you did. That's why I was surprised at the ECG. Two people asked about it but you must've missed that. Oh well. Thanks for the good scenario!! Link to comment Share on other sites More sharing options...
ERDoc Posted July 20, 2007 Author Share Posted July 20, 2007 Oh, I see mwhy I said that. A couple of people asked about the ECG and you must not have seen that so you didn't reply. I had thought you did. That's why I was surprised at the ECG. Two people asked about it but you must've missed that. Oh well. Thanks for the good scenario!! Didn't miss it, just put it off. Good case to remind you that MIs in the elderly can have very atypical presentations. The same is true of diabetics. Link to comment Share on other sites More sharing options...
chbare Posted July 20, 2007 Share Posted July 20, 2007 rut row raggy!! The lesion must have been a little on the proximal side? Nice, atypical presentation. Take care, chbare. Link to comment Share on other sites More sharing options...
AZCEP Posted July 20, 2007 Share Posted July 20, 2007 Shall we say it's a good thing he is non-ambulatory, on Plavix and a beta blocker, and quite used to people taking care of him? Over 45 with a complaint above the waist gets a twelve lead. You just can't trust people to tell you what is going on. Link to comment Share on other sites More sharing options...
rocket Posted July 23, 2007 Share Posted July 23, 2007 Thanks for the scenario!! -Trevor Link to comment Share on other sites More sharing options...
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