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March 20, 2024

69 y/o female was admitted with chest pain, dizziness, and indigestion which started 2 hours prior to arrival while

69 y/o female was admitted with chest pain, dizziness, and indigestion which started 2 hours prior to arrival while she was walking her dog on the beach. Ht:66″ Wt: 140 lbs BMI:22.6kg/㎡ BP:75/43 HR:110 Resp:18 Positive for: HTN, hyperlipidemia 12 lead ECG: Reveals ST elevation >1 mm in the inferior wall Medications given in the ED: · Heparin bolus 60units/kg · ASA 500mg · Clopidogrel 600mg Reopro IV What additional tests should be ordered for this patient? Is this patient going to the cath lab for further evaluation/treatment? If yes, what vessel do you suspect has a blockage?

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