Mr. Hart is a 62-year-old male who arrived to the emergencydepartment complaining of indigestion radiating into his chest. Thepain is described as constant feeling of bad indigestion withnausea and vomiting dry heaves. He has no medical history, noallergies and not on any medications. There is a family history ofhis father having had a heart attack at the age of 59. Mr. Hartworks full time and exercises on a daily basis. You complete a statECG and show it to the physician. Answer the following rhythminterpretation questions.
QUESTION 1
Identify the location of the MI. (1 mark)
QUESTION 2
Which coronary artery supplies the area of the heart with thelocation identified? (1 mark)
QUESTION 3
To complete a right side ECG for a patient with a history ofdextrocardia only, which leads do you move to the right side of thechest?(1mark)
QUESTION 4
Patients with the type of MI you identified in question 1, areat risk for developing which type of arrhythmias. Identify 4 typesof arrhythmias. (4 marks)
QUESTION 5
Nitroglycerine is a vasodilator which is contraindicated orgiven with extreme caution for which type ofMI?
Briefly explain the reason you would not give this type of MINitroglycerine. (2 marks)
QUESTION 6
While caring for this patient in the coronary care unit you lookat the monitor and observe a change in the patient’s rhythm.
Identify the rhythm below. (6 marks)
(6 sec strip)
Respond to the following:
- Regular yes or no
- Rate atrial
- Rate ventricular
- PR interval
- QRS interval
- Rhythm interpretation
QUESTION 7
Outline at least 5 key characteristics of this rhythm thathelped you to identify it. (5 marks)
QUESTION 8
What life threatening complications can occur from the rhythmyou interpreted and explain why this could happen? (3 marks)
QUESTION 9
Mr. Hart continues to have chest pain and a new ECG iscompleted. What other MI is Mr. Hart having now? (1 mark)
