Page 410 - ECG dr shamol_Slide
P. 410

CAUSE: Acute MI

  Associated inferior MI                                                 If associated  Anterior  MI


  if asymptomatic:
                                                                                Temporary pacing followed by permanent
  •      No R  x ,   close monitor                                              pacing .(Because  : chance of complete heart

                                                                                block)
  If symptomatic:

                                                                         If  patient presents with asystole,give
   Inj. Atropin 0.6 mg 1 vial IV stat @

                                                                                i. v. Atropine (3 mg) or
   If fail uses temporary pacemaker

                                                                                i.v. isoprenaline
   The condition resolve with in 7 to 10 days




  Prognosis:                                                             oisoprenaline(2 mg in 500 ml 5% dextrose, infused


           Complete heart block                                         at 10-60 ml/hour)may help to maintain the
                                                                         circulation until a temporary pacing electrode can be
          Stokes Adams syndrome                                         inserted.


          Heart failure
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