Question

[Guest guest]

let me know if you figure this out

My approach would be to call the cardiologst and ask,

Question

Is it just me?

Once again, I have just been notified that one of my patients was

admitted with " non-Q wave MI " . Presented in the ER with complaints of

" lightheadedness " . No CP, no SOA. Is obese, diabetic, hypertensive and

hyperlipidemic, but does not smoke and is compliant with her meds, all

her numbers good except weight. Is 65 yoa.

In the ER, EKG normal (exactly the same as previous) CK, CKMB and

troponin all normal X3. VS normal, patient with no complaints. But

cardiology was called ANYWAY and proclaimed this to be a 'NonQ wave MI)

They then did a stress echo (normal) a cardiolyte (normal) and a cath

(normal). Then they discharge her on a betablocker and Aggrenox and

tell her she needs monthly follow up at their office, yearly cardiolyte

and Q6 month Echo.

Am I crazy, or is there something wrong with this picture? Is there

some diagnostic criteria for MI that I don't know about?

Perplexed,

Annie

[Guest guest]

let me know if you figure this out

My approach would be to call the cardiologst and ask,

Question

Is it just me?

Once again, I have just been notified that one of my patients was

admitted with " non-Q wave MI " . Presented in the ER with complaints of

" lightheadedness " . No CP, no SOA. Is obese, diabetic, hypertensive and

hyperlipidemic, but does not smoke and is compliant with her meds, all

her numbers good except weight. Is 65 yoa.

In the ER, EKG normal (exactly the same as previous) CK, CKMB and

troponin all normal X3. VS normal, patient with no complaints. But

cardiology was called ANYWAY and proclaimed this to be a 'NonQ wave MI)

They then did a stress echo (normal) a cardiolyte (normal) and a cath

(normal). Then they discharge her on a betablocker and Aggrenox and

tell her she needs monthly follow up at their office, yearly cardiolyte

and Q6 month Echo.

Am I crazy, or is there something wrong with this picture? Is there

some diagnostic criteria for MI that I don't know about?

Perplexed,

Annie