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رجوع لأسئلة Acute Coronary Syndrome 17 / 26
B-038 مطابق للمصدر

Patient who has hypotension 90/.... but 12 lead in the right side of chest. Why we order right chest lead in ECG?

سؤال مجاني 4 من 10 اليوم · اشترك وكمّل بدون حد

اعرض الإجابة

الإجابة والشرح

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الإجابة: A. Inferior MI

✓ مطابق للمصدر (Y4)-(M B) Ischemic Heart and Acute coronary syndrome.pdf · p. 14

Right-sided chest leads (e.g. V4R) are ordered in inferior MI because inferior STEMI is usually due to RCA occlusion, which can also infarct the right ventricle; RV infarction causes hypotension with clear lungs. Dextrocardia is also recorded with right-sided leads, but in a hypotensive ACS context the reason is to look for RV infarction with inferior MI. Anterior MI (LAD) is assessed with V1–V4.

ليش كل خيار صح أو غلط

  • A ليش صح

    Inferior STEMI is due to RCA occlusion, which can also infarct the right ventricle, so right-sided chest leads are checked for RV infarction.

    ✓ (Y4)-(M B) Ischemic Heart and Acute coronary syndrome.pdf · p. 14
  • C ليش غلط

    Anterior STEMI is the LAD territory, assessed in leads V1–V4, so right-sided leads are not the reason.

    ✓ 4• Coronary Artery Disease [Notes].pdf · p. 8
المصدر
(Y4)-(M B) Ischemic Heart and Acute coronary syndrome.pdf · p. 14
4• Coronary Artery Disease [Notes].pdf · p. 9
المحاضرة
Acute Coronary Syndrome · Cardiology · Module B
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Cardio bank
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