Question

A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting crushing chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. On the basis of this pt's initial presentation, which condition do you suspect led to the cardiac arrest?

A)Acute Coronary Syndrome
B)myocardial infarction
C)coronary artery disease
D)None

Answer 1

The likely condition that led to the cardiac arrest in the patient is Acute Coronary Syndrome (ACS), which includes conditions such as myocardial infarction and unstable angina.

Step-by-step explanation:

The condition that likely led to the cardiac arrest in this patient is Acute Coronary Syndrome (ACS).

Acute Coronary Syndrome refers to a group of conditions characterized by a sudden decrease in blood flow to the heart muscle. It includes conditions such as myocardial infarction (heart attack) and unstable angina.

In this case, the patient's presentation with severe chest discomfort, pale appearance, diaphoresis (sweating), weak radial pulse, low blood pressure, and ventricular tachycardia that changed to ventricular fibrillation are all consistent with an acute coronary event.