This discussion is a further continuation of Management Of Myocardial Infraction In 34 Yr Male . I agree with all comments made on this case. ECG revealed Hyperacute IWMI with RVMI (ST Elevation in V1, PWMI (ST depression in V2) with Shock due to RVMI. Patient loaded with Aspirin Ticagrelor Atorvastatin 80 mg, IV Heparin, IV Abciximab 10 mg bolus, IV fluids rushed in, started on Dopamine. After a quick discussion with patient relatives under CCTV, and obtaining required consents, the patient rushed to the cath lab. The door to balloon time hardly 15-20 minutes as CCU is attached to Cathlab.
Femoral approach both venous and arterial line obtained. Temporary pacing done. One interesting thing observed while shifting from CCU bed to Cathlab table. Suddenly rhythm reverted to NSR, Tachycardia, ST started resolving. However went ahead with Temporary Pacing and CAG. Coronary Angiogram…
