“Bad heartburn” – 82 y.o. male without chest pain.

Discussion Points: Do you believe that this patient requires PCI for acute coronary occlusion? If so, what was the likely site of the occlusion? Are there any other management concerns, given this ECG pattern? Should you routinely obtain ECGs in patients who complain of GI symptoms, but who deny any chest pain, pressure, or discomfort? Lastly, although the local protocols do not require that the computer interpretation display ***MEETS ST ELEVATION MI CRITERIA *** in order to activate the cath lab, they limit activation to patients with “active chest pain and/or dyspnea.” In that context, how should the paramedic have proceeded? I will have follow up posted within 48 hours!
Source: EMS 12-Lead - Category: Cardiology Authors: Tags: Uncategorized Source Type: research