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Table of Contents
THE PRACTITIONER / LE PRACTICIEN
Year : 2020  |  Volume : 25  |  Issue : 3  |  Page : 115

Country cardiograms case #67


Tumbler Ridge Health Centre, British Columbia – Tumbler Ridge, Canada

Date of Submission19-May-2019
Date of Acceptance13-Feb-2020
Date of Web Publication24-Jun-2020

Correspondence Address:
MBCHB Charles William Helm
Tumbler Ridge Health Centre, British Columbia – Tumbler Ridge
Canada
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/CJRM.CJRM_39_19

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How to cite this article:
Helm CW. Country cardiograms case #67. Can J Rural Med 2020;25:115

How to cite this URL:
Helm CW. Country cardiograms case #67. Can J Rural Med [serial online] 2020 [cited 2020 Jul 15];25:115. Available from: http://www.cjrm.ca/text.asp?2020/25/3/115/287691




  Question Top


A 63-year-old male patient presents to a rural British Columbia emergency room after developing chest pain, epigastric discomfort, nausea and sweating, while riding his all-terrain-vehicle. He has an ashen appearance and looks acutely ill. He has a number of positive risk factors for cardiovascular disease, including a previous stroke, treated hypertension, treated hylerlipidaemia and a pack-a-day smoking history of almost 50 years. Initial pulse rate of 68/min and blood pressure of 166/91 mm Hg are recorded. The chest is clear; there is no evidence of peripheral oedema or distended neck veins. A 12-lead electrocardiogram is immediately performed [Figure 1]. It shows an inferior ST-elevation myocardial infarction (STEMI). What else does it suggest, what further test is required to confirm this and what are the implications for the management?
Figure 1: 12-Lead electrocardiogram of a 63-year-old male patient with chest pain.

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For the answer, please see page 116


    Figures

  [Figure 1]



 

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