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Ultrasound Corner |

A Woman in Her 80s With Anterior ST-Elevation Myocardial Infarction and Shock

Pouya Motazedian, BSc; Michel R. Le May, MD; Christopher Glover, MD; Benjamin Hibbert, MD, PhD
Author and Funding Information

CAPITAL Research Group, Division of Cardiology, University of Ottawa Heart Institute, Ottawa, ON, Canada

CORRESPONDENCE TO: Benjamin Hibbert, MD, PhD, University of Ottawa Heart Institute, Room 4214, 40 Ruskin St, Ottawa, ON, Canada K1Y 4W7


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2017;151(1):e5-e8. doi:10.1016/j.chest.2016.05.040
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Extract

A woman in her 80s presented with acute onset of chest pain and shock and was transported from the community by emergency medical services for primary percutaneous coronary intervention. The patient had no prior history of heart disease and on arrival was deemed to be Killip class IV, requiring levophed to maintain systolic BP > 80 mm Hg with normal heart sounds; bibasilar crackles were noted while oxygen saturation was maintained at 95% on room air. Her ECG was significant for sinus tachycardia, a right bundle branch block, and anterolateral ST-segment elevation, consistent with a culprit proximal left anterior descending artery lesion.

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