*** This is not the actual patient ECG. Actual ECG low quality copy, but similar to above***
Cardiac Cath Report
1. LMCA: Large, patent.
2. LAD: Large, transapical, patent. Medium sized high D1 with ostial 60% stenosis and mid 40% stenosis.
3. LCX: Large, nondominant, patent.
4. RCA: Large, dominant, 100% proximal occlusion with thrombus.
Plan: Stent placed in RCA
- 40-50% of all myocardial infarctions.
- more favorable prognosis than anterior myocardial infarction
- Up to 40% of patients with an inferior STEMI will have a concomitant right ventricular infarction. These patients may develop severe hypotension in response to nitrates and generally have a worse prognosis.
- Confirmed with Right sided ECG, Elevation in V4R
- Up to 20% of patients with inferior STEMI will develop significant bradycardia due to second- or third-degree AV block. These patients have an increased in-hospital mortality (>20%).
- ECG findings
- ST elevation in leads II, III and aVF
- Reciprocal ST depression in aVL (± lead I)
- RCA (80%): Elevation in III > II, Reciprocal depression in I
- LCx (20%): Elevation in III = II, No reciprocal depression in I