2. Choice A is correct. In cases of new onset Left Bundle Branch Block in patients with chest pain you have to treat this as a ST elevation MI. Cardiology should be consulted immediately and the patient should be evaluated for cardiac catheterization. ST Depression is just indicative of ischemia no matter if it is in all leads or just the anterior lateral leads. Another possibility with ST depression in all leads is an evolving pericarditis. Flipping of the axis in lead AVR could mean lead reversal.
Tuesday, January 29, 2013
Answer and Explanation 2
2. Choice A is correct. In cases of new onset Left Bundle Branch Block in patients with chest pain you have to treat this as a ST elevation MI. Cardiology should be consulted immediately and the patient should be evaluated for cardiac catheterization. ST Depression is just indicative of ischemia no matter if it is in all leads or just the anterior lateral leads. Another possibility with ST depression in all leads is an evolving pericarditis. Flipping of the axis in lead AVR could mean lead reversal.
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