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Trinity University Hospital: Case: Myocardial Infarction
Trinity University Hospital: Case: Myocardial Infarction
Trinity University Hospital: Case: Myocardial Infarction
DIFFERENTIAL COUNT:
NEUTROPHIL 0.60 0.50 – 0.70
CREATININE
LIPID PROFILE
HBA1C
HBA1C 5% 4 – 12%
COAGULATION STUDIES
ELECTROLYTES
TROPONIN I
Source: https://radiopaedia.org/cases/thoracic-aorta-senile-ectasia
Findings:
- Present radiograph shows clear bilateral lungs
- Lungs are not infiltrated
- Heart is not enlarged
- Noticeable costophrenic sulci
- Atheromatous Aorta
- Rest of the study is normal
Impression:
- Normal Chest Xray
- Atheromatous Aorta
ELECTROCARDIOGRAM
Source: https://www.healio.com/cardiology/learn-the-heart/ecg-review/ecg-archive/inferior-
wall-myocardial-infarction-ecg-1
Impression:
ST Segment elevation: >1mm
QRS complex – Narrow
Leads II, III, AVF
P wave – present
PR – 0.12 seconds Inferior Wall Myocardial Infarction
QRS complex – 0.12 seconds
Ventricular Rate: 50 beats per minute
Source: https://www.researchgate.net/figure/M-mode-LV-study-showing-the-inferior-wall-
hypokinesis-with-contractile-dysfunction-EF_fig11_315994557
Impression:
- Ejection Fraction: 50% (Normal Reference: >58%)
- Normal left ventricular dimension with left ventricular mass index of 80.02 gm/m2 and
normal right ventricular dimension with adequate wall motion.
- Noted hypokinesia at the inferior wall segment of the left ventricle.
- Atherosclerotic aortic root
Indication: With no known comorbidities, came to ER with chest pain. Undergone Thrombolytic
therapy prior to coronary angiogram however, still with chest pain noted hence transfer of hospital
was done.
Coronary Arteries:
Left Main Coronary Artery: It is a 4.0 mm vessel without disease
Left Anterior Descending Artery: 3.5 mm vessel without disease
Left Circumflex Artery: 3.0 mm vessel without disease
Right Coronary Artery: 3.0 mm vessel with 90% blockage at the midsegment.