Upon arrival the patient was laying in bed with chest pain. She stated that the pain started at 8 in the evening. She has no cardiac history. The patient's initial 12-lead indicated inferior wall MI, STEMI alert was called. Right-sided 12-lead showed possible Right Ventricular extension. Nitrates were withheld. The patient remained slightly hypotensive during transport with rise in BP just prior to arrival at ER. Verbal report given to ER RN, and care transferred.AMI confirmed at ER, and patient taken to Cath-Lab.
23:37 12-Lead ECG: 1st degree AVB, inferior wall MI, elevation in 2, 3, AVF & V6. S-T Depression in 1, AVL, V2 & V323:39 12-Lead ECG: 1st Degree AV Heart Block, S-T elevation in 2, 3, AVF, V6 & V4R
23:38 AT Aspirin (ASA) Oral 324 MG, Unchanged
23:39 SF Oxygen (non-rebreather mask) NRB/PRB 10 LPM, Unchanged
23:45 AT Normal Saline Intravenous 250 ML, Improved