Extensive myocardial infarction associated with intraventricular conduction disturbance
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:
- Qual o diagnóstico ECG/VCG?
- Qual a conduta adequada?
