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We administered adrenaline for cardiac excitation, dopamine for maintained bloodpressure, sodium bicarbonate to correct the acidosis, and multiple electric defibrillations. Fortunately, there was no obvious stenosis in the right coronaryartery.
The EMS narrative reports that her bloodpressure and oxygenation improved modestly with rhythm stability for transport duration. It was postulated that such an ECG feature is associated with advanced myocardial dysfunction, to include left ventricular aneurysm, as the cause of arrhythmia. [7]
Her bloodpressure on arrival was 153/69. There are no Q-waves to suggest old inferior MI, or inferior aneurysm as the etiology of the ST Elevation. increasing stenosis, ischemia, volume changes, increased bloodpressure, atrial fibrillation, etc.) She arrived to the ED with a nonrebreather mask.
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