Cardiology · case mode
Crushing chest pain at 06:40
A 58-year-old man with hypertension and a 30-pack-year smoking history arrives 90 minutes after sudden crushing central chest pain radiating to the jaw. He is sweaty, blood pressure 138/84 mmHg, pulse 92/min, SpO2 97% on air.
- 1
What is your first action?
- 2
The ECG shows 3 mm ST elevation in II, III and aVF with reciprocal depression in I and aVL. What is the territory and next step?
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- 3
He becomes hypotensive at 82/54 mmHg with clear lung fields and raised JVP after sublingual nitrate. What now?
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- 4
He undergoes successful PCI. Which discharge package is correct?
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