THE CASE

A 35 year old woman, who is a known intravenous drug user, is admitted with septic shock secondary to bacterial endocarditis. She is acidotic and hypotensive. Her ECG is shown. Here are 2 questions to answer before you look at the answer below.

  1. Is this an acute Myocardial Infarction(AMI)?
  2. There is no cath lab in your hospital. Would you thrombolyse if she presented early?

This is content for subscribers.

For less than the price of a cup of coffee a week, you can get full access to everything