(FIT)-Module 4 Workshop 6: Electrocardiographic and Electrophysiological Correlations-Gerstenfeld Case 2 Question

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Video Summary

The 59-year-old patient with a history of MI and reduced ejection fraction is experiencing chest pain, with cardiac enzymes being negative and a stress test showing a fixed anterolateral perfusion defect. Medications include aspirin, metoprolol, and lisinopril. An ECG tracing during monitoring shows an atypical pattern, but the patient is asymptomatic. With a prior MI and an ejection fraction of 38%, the best management option considering sudden cardiac arrest risk is likely ICD implantation to prevent life-threatening arrhythmias, given the patient’s risk profile.

Keywords

Myocardial Infarction

Reduced Ejection Fraction

Chest Pain

ICD Implantation

Sudden Cardiac Arrest Risk