Casos

Extensive myocardial infarction associated with intraventricular conduction disturbance

Dr. Raimundo Barbosa Barros
Dr. Raimundo Barbosa Barros
Brazil

Case presentation

Caucasian, male, 65 years. Angina and tiredness to progressive efforts in the last 3 days. Hypertensive, dyslipidemic, CAD. History of AMI 2 years ago with implantation of 2 stents in the anterior descending artery
Medication: losartan, simvastatin, aspirin, bisoprolol, furosemide
BP = 130/70 eupneic
RCR 2T B4 Systolic murmur ++ / 4 mitral focus. Second unfolded sound
Clean lungs
Without peripheral edema

Questions:

Which is the ECG / VCG diagnosis?

Which is the proper approach?


Apresentaçao do caso

Sexo masculino, branco, 65 anos. Eupneico, angina e cansaço aos esforços progressivos nos últimos 3 dias. Hipertenso, dislipidêmico História de IAM há 2 anos com implante de 2 stents na artéria descendente anterior
Medicação: losartana, sinvastatina, aspirina, bisoprolol, furosemida
PA=130/70
RCR 2T B4 SS++/4 foco mitral segunda bulha desdobrada
Pulmões limpos
Sem edema periférico

Perguntas:

  1. Qual o diagnóstico ECG/VCG?
  2. Qual a conduta adequada?

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Auspicios Institucionales
  • Sociedad Argentina de Cardiología
  • Federación Argentina de Cardiología
  • SIAC
  • SADEC
  • Asociación Argentina de Cardiología
  • SOLAECE Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología
  • Fundación Barceló - Facultad de Medicina