Remove Blood Pressure Remove Bradycardia Remove Coronary Angiogram
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What would you do with acute chest pain and this ECG? You might see what the Queen thinks.

Dr. Smith's ECG Blog

Three months prior to this presentation, he received a pacemaker for severe bradycardia and syncope due to sinus node dysfunction. The ED provider ordered a coronary CT scan to assess the patient for CAD. Another blood pressure was checked. He was severely hypotensive, with a systolic pressure in the 50s.

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See OMI vs. STEMI philosophy in action

Dr. Smith's ECG Blog

Blood pressure: 130/80 mmHg, heart rate: 45/min, respiratory rate: 18/min, SaO2: %98, body temperature: normal. His first electrocardiogram ( ECG) is given below: --Sinus bradycardia. Here is the coronary angiogram: A distal thrombotic right coronary artery (RCA) occlusion !

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