SAQ 576 – Cardiology – ischaemic chest pain and ECG interpretation

A 52-year-old man presents with ischaemic-sounding chest pain. He has not attended any hospital in the previous 12 months and has never had echocardiography. His arrival ECG is shown below.

Observation	Result
Blood pressure	130/60 mmHg
Heart rate	90/min
Respiratory rate	14/min
SpO2	94% room air

State seven (7) factors which, together, would allow safe discharge within three hours of presentation.

(Marked out of 7.0)

/ 7

If an ECG demonstrated left bundle branch block, state three (3) ECG findings that may help identify myocardial infarction.

(Marked out of 3.0)

/ 3

State three (3) significant abnormalities on the arrival ECG.

(Marked out of 3.0)

/ 3

State the significance of these ECG abnormalities, giving two (2) points.

(Marked out of 2.0)

/ 2

He has ongoing ischaemic chest pain after aspirin, GTN and morphine. List three (3) additional medications you would give.

(Marked out of 3.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Medication</th> <th>Dose or route if relevant</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> <tr> <td>2.</td> <td></td> </tr> <tr> <td>3.</td> <td></td> </tr> </tbody> </table> <p>

/ 3

Total Score: 0 / 18

Percentage: 0%