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Which of the following EKG finding reflects an acute MI in a patient with new onset chest pain for whom a fibinolytic agent may be considered.:ST depressions in inferior leadsPositive troponin findingST elevation in Lead 1New left bundle branch block

Question

Which of the following EKG finding reflects an acute MI in a patient with new onset chest pain for whom a fibinolytic agent may be considered.:ST depressions in inferior leadsPositive troponin findingST elevation in Lead 1New left bundle branch block

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Solution

The EKG finding that reflects an acute myocardial infarction (MI) in a patient with new onset chest pain for whom a fibrinolytic agent may be considered is: ST elevation in Lead 1.

Here's why:

  1. ST depressions in inferior leads: This could indicate ischemia, but it's not a definitive sign of an acute MI.

  2. Positive troponin finding: While this is a marker of heart muscle damage and can indicate a heart attack, it's not an EKG finding.

  3. ST elevation in Lead 1: This is a classic sign of an acute MI. ST segment elevation is a key EKG finding in the diagnosis of an acute MI, and it's the main indication for the use of fibrinolytic agents.

  4. New left bundle branch block: While a new left bundle branch block can be associated with an MI, it's not as definitive as ST elevation. It's also more difficult to diagnose an MI in the presence of a left bundle branch block.

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