Family members call 911 for an 80 yo male experiencing chest discomfort. The patient has a history of HTN, dementia. The patient reports chest discomfort that began "a few hours" prior to EMS arrival. The patient reports some mild shortness of breath. The patient is otherwise alert and in mild distress.
PHYSICAL ASSESSMENT
BP: 136/78
P: 60
R: 22
Sp02: 95% on RA
Lung sounds are clear.
Heart tones present, no murmur.
No leg edema.
12 LEAD ECG
12 LEAD ECG INTERPRETATION
It appears that LifeNet has done the job for you. There are three stars on either side of the ***MEETS ST ELEVATION MI CRITERIA***. Guess there's nothing more to say.
What say you? To cath or not to cath? Treatment? Additional questions?
I agree with the computerized interpretation in this case and would treat the patient as a STEMI. Precordial ST-elevation combined with ST-depression in III and aVF suggests a proximal LAD lesion.
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