Question

Irma Pueblo called the cardiology clinic and stated that last evening she had a strange event occur in which she felt like her body was frozen—she could neither move nor could she speak. She said the event probably only lasted a minute or so but it seemed like eternity. The clinician asked Irma to come in for an ECG, which she did. The results of the ECG showed an elevated ST segment in two contiguous leads and the T wave appeared rounded. Would this ECG signify a medical emergency? What may be occurring in Irma's heart? How could you tell if this is a new injury? Explain your answers.

Answer 1

This ECG would signify a medical emergency. Irma's heart could be failing, signifying a myocardial infarction.

What does ST segment alteration mean?

The acute elevation of the ST segment on the electrocardiogram, is one of the first signs of acute myocardial infarction, and is generally associated with the acute and complete occlusion of a coronary artery.

With this information, we can conclude that this ECG would signify a medical emergency. Irma's heart could be failing, signifying a myocardial infarction.

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