Anterior Wall Myocardial Infarction; Challenges in Recognition and Management in an Intellectually-Disabled Patient in the Emergency Department
Journal Title: Indian Journal of Emergency Medicine - Year 2018, Vol 4, Issue 2
Abstract
Acute MI would rarely be a first differential diagnosis in a young boy of 19 years old withintellectual disabilitywith non-specific complaints. We present a case of a 19-year old boywithhistory of seizure disorder, who presented to the Emergency Department with complaint ofnon-specific chest discomfort since1 day.While being examined, he had one episode of seizure after which he suddenly developed cardiac arrest;he was immediately given high quality CPR along with DC shock (initial rhythm = VF) as per ACLS protocol. Post ROSC2D Echo revealed LV dysfunction with LVEF~ 40%. Post ROSC ECG revealed AWMI. Patient was loaded with antiplatelets, statins and anticoagulants. Patient underwent CAG which revealed single vessel disease. Subsequently, he underwent primary PTCA+ Stent (DES) to LAD with good end result. He was discharged in a stable condition after 6 days.
Authors and Affiliations
Tanmay Kumar Jha
Keywords
Related Articles
- EP ID EP552028
- DOI 10.21088/ijem.2395.311X.4218.14
- Views 143
- Downloads 0
A Case of Aortic Dissection Presenting as CVA with Pulmonary Embolism
Aortic dissection is a life threatening condition of the aorta. Early diagnosis and management can reduce the patient’s morbidity and mortality; hence one should have a high index of suspicion for this condition. This ca...
A Study of Pulmonary Manifestations in Rheumatoid Arthritis and Its Correlation with Disease Activity
Introduction: Pulmonary involvement is the one of the most common extraarticular manifestations of rheumatoid arthritis which contributes significantly to morbidity and mortality of patients with rheumatoid arthritis. Th...
To Study the Level, Pattern and the Risk Factors of Polypharmacy among Elderly Admitted in a Tertiary Care Centre
Background: The proportion of older adults exposed to polypharmacy defined as use of multiple medications, is rapidly increasing in the last two decades. There are many negative medical consequences associated with polyp...
Gender Bias in Dengue The Lab Perspective
Background: Dengue infection can occur as epidemics in India. If early treatment is not instituted it has high mortality. Currently there is no specific antiviral drug or vaccine available for treatment of dengue, preven...
Outcome of Patients with Acute Poisoning Treated with Gastric Lavage
Background: Acute poisoning is a medical emergency and preventable cause of morbidity and Mortality. Gastric lavage (GL) is one of the most commonly used decontamination method for poisoning in developing countries despi...