[HSF] Another Victory for the LAD Stent.....
Michael Firstenberg
msfirst at gmail.com
Fri Feb 8 10:51:26 EST 2008
All we know about this guy, we got from his driver's license.
59 year/old - called EMS from a local hotel with chest pain.
Found in obvious respiratory distress with severe C.P.
Scooped and run to our ED - intubated in ED instantly, then taken to cath
lab...... very quick door to needle time.
Cath - multiple LAD stents - occluded prox. unable to pass a wire
Circ - occluded, severe RCA disease
Has ICD
tachycardic to 120-150's
mild hypotension
echo in cath lab ----> almost dead heart.
severe pulm edema, severe respiratory acidosis (ph: 6.9 pCO2=90 sats in
70's)
given lasix, heparin, reopro
we are called........
I guess he has not read the recent studies..............
-michael
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