This ECG is from a 70 yr old patient with a history of ischaemic heart disease complicated by ischaemic cardiomyopathy (LV ejection fraction of 27%) in has an AICD in situ.
The patient presented with worsening dysponea without chest pain.
His intial serial ECGs are below.
|ECG 1 – Click to enlarge|
|ECG 2 – Click to enlarge|
A 70 yr old patient presentes to your Emergency Department complaining of increased dysponea. The patient has a past medical history of ischaemic heart disease complicated by ischaemic cardiomyopathy (LV ejection fraction 27%) and has an AICD in situ.
Vital signs: BP 167/84 RR 26 Sats 91% RA Temp 36.7
- Describe & interpret the patient’s intial ECG [ECG 1] (50%)
- Outline your indications for NIV in this patient (50%)