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I do not know if this patient has a history of cardiac disease or a recent complaint of chestpain, but T wave inversion and some biphasic T waves makes me think of reperfusion changes, reflecting a recent M.I. For myself, as a retired ER RN and paramedic, I think of the clinical ramifications of such a rhythm.
I do not know if this patient has a history of cardiac disease or a recent complaint of chestpain, but T wave inversion and some biphasic T waves makes me think of reperfusion changes, reflecting a recent M.I. For myself, as a retired ER RN and paramedic, I think of the clinical ramifications of such a rhythm.
This case was sent by Lou B, a paramedic and RN. Denied headache, chestpain, nausea / vomiting. If this patient had chestpain and the value suggested early repol, I would be very hesitant to act on it. He writes: "We were dispatched to a 58 yo male who had been out in the sun for 2-3 hours as a mailman.
A late middle-aged man presented with one hour of chestpain. Serum Magnesium and Potassium in Acute Myocardial Infarction Influence on Ventricular Arrhythmias Henryk Kafka, MD; Lorrie Langevin, RN; Paul W. Most recent echo showed EF of 60%. He also had a history of chronic kidney disease, stage III. 1987;147(3):465-469.
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