55-year-old male with a history of well-controlled type 2 diabetes and chronic gastritis presented with sudden-onset central chest pain radiating to his left shoulder and jaw. He described associated diaphoresis and mild shortness of breath. He has no known drug allergies. His medications include metformin 1g twice daily and omeprazole 20 mg once daily.
On arrival, his vitals were: BP 135/85 mmHg, HR 92/min, SpO₂ 98% on room air, and temperature 36.8°C. Cardiovascular examination revealed normal S1, S2, and no murmurs. Respiratory and abdominal exams were unremarkable.
Initial ECG showed ST elevation in leads II, III, and aVF, and he was diagnosed with acute inferior STEMI.
He underwent successful primary PCI to the right coronary artery. Two hours post-procedure, he reports mild fatigue but no chest discomfort.
Repeat ECG shows occasional ventricular premature complexes occurring in a bigeminal pattern. Heart rate is 80/min, BP 120/80 mmHg, SpO₂ 98%.
Lab investigations reveal normal electrolytes, renal, and liver function.
Intellect Medicos
55-year-old male with a history of well-controlled type 2 diabetes and chronic gastritis presented with sudden-onset central chest pain radiating to his left shoulder and jaw. He described associated diaphoresis and mild shortness of breath. He has no known drug allergies. His medications include metformin 1g twice daily and omeprazole 20 mg once daily.
On arrival, his vitals were: BP 135/85 mmHg, HR 92/min, SpO₂ 98% on room air, and temperature 36.8°C. Cardiovascular examination revealed normal S1, S2, and no murmurs. Respiratory and abdominal exams were unremarkable.
Initial ECG showed ST elevation in leads II, III, and aVF, and he was diagnosed with acute inferior STEMI.
He underwent successful primary PCI to the right coronary artery. Two hours post-procedure, he reports mild fatigue but no chest discomfort.
Repeat ECG shows occasional ventricular premature complexes occurring in a bigeminal pattern. Heart rate is 80/min, BP 120/80 mmHg, SpO₂ 98%.
Lab investigations reveal normal electrolytes, renal, and liver function.
What is the most appropriate management?
1 month ago | [YT] | 96