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PEARL # 2: In the absence of associated heart failure ( cardiogenicshock ) — sinus tachycardia is not a common finding in acute MI. For now — Let's continue with ECG signs consistent with and suggestive of acute RV "Strain". Sinus Tachycardia and RAD — as already noted above. To emphasize — Count the respiratory rate yourself !
It had started just after nursing her newborn, about an hour prior, and she described it as a severe non-pleuritic “pressure” radiating to the back. Many of these issues were described in a prior post by Dr. Angie Lobo ( @aloboMD ) (For open-access reviews of this literature, see Saw 2016 , Saw 2017 , or Hayes 2018.) Lobo et al.
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