In reviewing his family history, we discover diagnosis of heart disease and acute myocardial infarction on both sides of the family. This indicates that he has a genetic predisposition to these conditions (Chandrasekhar, Cholamugath, Baby, & Pattani, 2015). It was also observed that Bill had an elevated respiration rate of 20 breaths per minute and mild shortness of breath on slight exertion. His skin was seen to be cool, pale, mildly diaphoretic and he reported feeling anxious and intermittently nauseous. He was found to have a systolic blood pressure of 110mmHg and all other measures were within normal parameters with no adventitious sounds bilaterally on auscultation. These observations may lead one to suspect Bill to be experiencing myocardial infarction (Phalen & Aehlert, 2012). Interpretation of a 12-lead ECG is crucial in differentiating the diagnosis (Reeder & Kennedy, 2017). Upon initial observation of Bill’s ECG trace it is apparent that he may be experiencing an ST elevated myocardial infarction (STEMI) due to the presence of ST-segment elevation in a number of
In reviewing his family history, we discover diagnosis of heart disease and acute myocardial infarction on both sides of the family. This indicates that he has a genetic predisposition to these conditions (Chandrasekhar, Cholamugath, Baby, & Pattani, 2015). It was also observed that Bill had an elevated respiration rate of 20 breaths per minute and mild shortness of breath on slight exertion. His skin was seen to be cool, pale, mildly diaphoretic and he reported feeling anxious and intermittently nauseous. He was found to have a systolic blood pressure of 110mmHg and all other measures were within normal parameters with no adventitious sounds bilaterally on auscultation. These observations may lead one to suspect Bill to be experiencing myocardial infarction (Phalen & Aehlert, 2012). Interpretation of a 12-lead ECG is crucial in differentiating the diagnosis (Reeder & Kennedy, 2017). Upon initial observation of Bill’s ECG trace it is apparent that he may be experiencing an ST elevated myocardial infarction (STEMI) due to the presence of ST-segment elevation in a number of