It is 74 years old male patient. He was received at the emergency room complaining of chest pain.
Background:
History of acute myocardial infarction eight years ago.
Angina pectoris and heart failure secondary to myocardial infarction
Smoking longstanding currently suspended
He had an ischemic stroke without sequelae a time ago.
And unspecified treatment.
With a history of three days effort angina that does not improve with medication. Episodes of angina becoming longer and more often to come to rest, to start a night prior to admission with severe chest pain, no symptoms added, not giving up to rest or medication.
Vital signs: BP 90/60, HR: 95, Sat 98% without mask, CPK: 453 , CPK MB 91, TGO 108 DHL 616
ECGs attached: ECG-1 is the entrance and ECG 2 is 6 hours later
The patient was referred to the hemodynamics laboratory for Percutaneous Transluminal Coronary Angioplasty (PTCA)