1
Q
p/w sudden chest pain with raised troponin
ECG shows STEMI in V1-V4
A
anterior STEMI secondary to LAD occlusion.
drug eluting stent is perferred as it has a lower rate of restenosis but higher rate of re-thrombosis thus 6-12 months of dual anti platelet therapy is needed
2
Q
p/w nausea, lethargy and visual disturbances (yellow green vision)
ECG shows St depression and T wave flattening
A
digoxin toxcity
3
Q
patient has HTN. HF and AF - they are on digoxin which drugs interact with digoxin
A
bendoflumthiozide- causes hypoK and make heart more sensitive to digoxin.
4
Q
digoxin toxcitiy management
A
Digibind
correct arrhythmias
monitor potassium
5
Q
A
