A 60s M comes to the ED for blurry vision. His vision is fine. While in the ED, someone decides to do an EKG on the patient. The patient has no cardiac history. What do we do now?
Un papel malo
Jacobi / Montefiore Emergency Medicine Residency
I would be concerned about Wellens Syndrome. These patients are usually pain free when they present to the ED, and the enzymes are plus / minus being elevated. This EKG is a pre- infarction state of CAD, and is high risk for impending large anterior wall AMI. I would call Cardiology to evaluate this patient in the ED.
Hey Siuf,
probably is transient LAD occlusion caused his vision problem. when he reperfused it must have fixed his eyesight.