Extensive Anterior wall MI (AWMI)
Patient ~65 years old, male presented to the emergency department of Agra Heart Center, at 9:00 om with history of chest pain, sweating and palpitations.
His ECG showed Extensive anterior wall Myocardial infarction. Patient had ongoing pain. ECG showed market ST elevations in V1-V6, I and avL.
Patient was immediately heparinized, started on antiplatelets and o2 along with nitrates, and other supportive measures to maintain his blood pressure and heart rate.
2D echo was done urgently to rule out any ventricular septal rupture, Ac. Mitral Regurgitation or other mechanical complications due to MI. It also showed a large area of regional wall motion abmnormality.
Patient was urgently taken to the cath lab after explaining to the relatives about the seriousness.
Angiography stills showed 100% blockage of the Left Anterior Descending artery (LAD).
Relatives were shown the test results and explained the risk and benefits of the procedure. The trust issue was not there as relatives had been shown the angiography on screen. Also, they had many known-to people that had patients that were taking treatment at Agra Heart Center.
The goodwill of Dr. C. R. Rawat sir and Dr. Rajat Rawat sir convinced the patient’s relatives about the need of the procedure.
Patient’s LAD was opened, all blockages removed with good predilatation and 1 drug eluting stent was deployed followed by good post dilatation to achieve good result with TIMI III Flow.
Patient was discharged after 48 hours with no complaints.
Final Result
