SAQ 1116 – epigastric pain with a 12-lead ECG

Marked out of 19.00

A 47-year-old man presents with epigastric pain for the last 45 minutes. A 12-lead ECG is shown below.

12-lead ECG for epigastric pain question.
12-lead ECG.

Describe and interpret the ECG.

(Marked out of 4.0)


/ 4

Describe and justify your immediate pharmacological treatment.

(Marked out of 4.0)


/ 4

His pain settles with aliquots of fentanyl but the ECG changes persist. You are 90 minutes from a PCI centre. Describe and justify your reperfusion plan.

(Marked out of 3.0)


/ 3

List five (5) absolute contraindications to fibrinolysis.

(Marked out of 5.0)


/ 5

What constitutes failed fibrinolysis, suggesting the need for rescue PCI?

(Marked out of 3.0)


/ 3

Total Score: 0 / 19

Percentage: 0%