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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain With EKG Showing Possible Infarct?

I had a patient today complain of left chest pain radiates to left underarm, and the EKG showed possible lateral infarct. Pt is 49 years old and has history of coronary artery disease, hypertension,seizure,diabetes mellitus, stroke. BP at the time was 98/48 HR 89. Nitroglycerin 0..4 mg sublingual was given. bp 15 minutes after nitroglycerin was given was 108/54 hr 90. Pt should not get nitroglycerin because BP was low at the time , will she be okay?
Mon, 6 Oct 2014
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Pain Medicine & Palliative Care Specialist 's  Response
hi
myocardial infarction with ative chest pain, the first line of treat ment is to give nittroglycerin spray or sulingual tablet
no doubt it decreases the blood pressure,it can be given in supine position,with oxygen support
it is a coronary vaso dilator, and relieves the pain
once the pain and agitation is relieved all other measures can be taken care of.
dont worry, she will be fine
take care
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What Causes Chest Pain With EKG Showing Possible Infarct?

hi myocardial infarction with ative chest pain, the first line of treat ment is to give nittroglycerin spray or sulingual tablet no doubt it decreases the blood pressure,it can be given in supine position,with oxygen support it is a coronary vaso dilator, and relieves the pain once the pain and agitation is relieved all other measures can be taken care of. dont worry, she will be fine take care