Anterior Wall Myocardial Infarction; Challenges in Recognition and Management in an Intellectually-Disabled Patient in the Emergency Department
Journal Title: Indian Journal of Emergency Medicine - Year 2018, Vol 4, Issue 2
Abstract
Acute MI would rarely be a first differential diagnosis in a young boy of 19 years old withintellectual disabilitywith non-specific complaints. We present a case of a 19-year old boywithhistory of seizure disorder, who presented to the Emergency Department with complaint ofnon-specific chest discomfort since1 day.While being examined, he had one episode of seizure after which he suddenly developed cardiac arrest;he was immediately given high quality CPR along with DC shock (initial rhythm = VF) as per ACLS protocol. Post ROSC2D Echo revealed LV dysfunction with LVEF~ 40%. Post ROSC ECG revealed AWMI. Patient was loaded with antiplatelets, statins and anticoagulants. Patient underwent CAG which revealed single vessel disease. Subsequently, he underwent primary PTCA+ Stent (DES) to LAD with good end result. He was discharged in a stable condition after 6 days.
Authors and Affiliations
Tanmay Kumar Jha
Keywords
Related Articles
- EP ID EP552028
- DOI 10.21088/ijem.2395.311X.4218.14
- Views 114
- Downloads 0
Role of Intravenous Magnesium Sulphate in Predicting Outcomes of ICU in Acute Organophosphate Poisoning
Organophosphorus chemicals (OPs) are the pesticides most often involved in serious human poisoning in developing countries like India. Treatment of intoxication with OPs conventionally involves atropine for reduction of...
Clinical Profile of Diabetic Patients with Liver Dysfunction
The spectrum of clinical disease in fatty liver with steatohepatitis varies from the asymptomatic elevation of liver enzymes to severe liver disease with fibrosis and nodular regeneration. Patients with nonalcoholic stea...
Does Henna Affect Pulse Oximetry Reading? – A Study
Introduction: Pulse oximetry is a simple, non-invasive, continuous, bedside method of measuring blood oxygen saturation of patients in emergency departments. The accuracy of measurement in patient have been questioned du...
A Study of Initial Assessment of Emergency Patients Using REMS Score and HOTEL Score
Aims: To assess the prognostic values and predicting in-hospital mortality of patients admitted to ED by Rapid Emergency Medicine Score (REMS) and Hypotension, oxygenation, temperature, ECG abnormality, loss of independe...
One and Half Syndrome in Acute Pontine Infarct: A Rare Entity
Oneandahalf syndrome is a clinical disorder characterized by an ipsilateral conjugate horizontal gaze palsy and an ipsilateral internuclear ophthalmoplegia. The main causes of this rare syndrome are stroke and multiple s...