A 70-year-old man with a history of extensive acute myocardial infarction 4 years earlier comes to the hospital with his wife. He has suffered 4 episodes of collapse over the past 6 months, the most recent that morning, when she witnessed slurred speech, confusion and weakness of his right arm and leg. On examination he has no chest pain, his BP is 145/82 mmHg, and he is not in cardiac failure. His apex beat is displaced to the left. Investigations; Hb 12.1 g/dl WCC 5.9 x109/l PLT 187 x109/l Na+ 142 mmol/l K+ 5.1 mmol/l Creatinine 148 μmol/l ECG ST elevation in the anterior leads Which of the following is the most appropriate way to diagnose his primary underlying pathology? Monitor on the CCU Thrombolyse with TPA Refer for immediate PCI Arrange an urgent CT head Arrange a cardiac MRI
Posted on: Fri, 25 Jul 2014 11:24:32 +0000
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