At 1600 on Saturday, a 75-year-old woman with chronic renal failure on peritoneal dialysis and diet-controlled diabetes presents with 60 minutes of retrosternal chest pain radiating to her neck and both arms. She functions well in the community, takes irbesartan, calcium and vitamin D, has no allergies, is vitally stable, and the ECG is shown below.
ECG.
List the diagnostic ECG features.
(Marked out of 1.0)
/ 1
If you are working in an urban major referral hospital with 24-hour on-call PCI, would you activate the PCI team when they cannot view the ECG and will act on your recommendation? Give your reasoning.
(Marked out of 2.0)
/ 2
If you are in a rural ED and transfer for PCI will take 3 hours, would you give thrombolysis?
(Marked out of 2.0)
/ 2
List ten features that increase the diagnostic likelihood of STEMI over pericarditis, including four history features, three ECG features and three other investigation features.
(Marked out of 5.0)
/ 5
Total Score: 0 / 10
Percentage: 0%
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