> >Male patient with inferior infarct. Started on streptokinase, and after
> >about 20 minutes starts to become hypotensive and bradycardic. No obvious
> >sign of bleeding. Nurse monitors carefully in the hope will settle but
> >gets concerned when bp not picked up by automatic sphyg although still
> >palpable and pulse is 34, sinus rhythm and no evidence of any sort of
> >conduction disturbance.
> >
> >Do you:
> >
> >1. Run in fluid in case there is a bleed?
> Fluid maybe indicated if patient is not exhibiting signs of pulmonary
oedema
> and rt leads (R1 R2 R3) show Rt atrial infarct (loss of Rt sided ejection
> pressure = loss of ejection volume)
Andy perhaps you could explain this one to me... I have yet to see anyone
diagnose R atrial infarct from any ECG including with additional
non-standard ECG leads!!!
regards
Richard Steyn
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