This is a 53 year old man who uses crack cocaine and has hypertension and hepatitis C. He was seen at another hospital seven days prior to this admission with chest pain. His EKG is provided below. He was discharged on indomethacin, colchicine, and ciprofloxacin. He has continued chest pain and malaise. His troponin level is 1.85 ng/mL. He is admitted to the telemetry monitoring and has continued chest pain. His morning EKG is provided below and now his troponin level has gone from 3.58 ng/mL to 6.20 ng/mL.
What should you do next?
12-07-2009
12-15-09
12-16-09
The 3rd EKG pt looks like STEMI antero-lateral wall and pt should be taken for cardiac catherization.