Friday, December 12, 2008

Right Sided EKG for Inferior MI?

How many times have you been asked to get right sided EKG for an inferior MI? I am sure many, but I think it is complete waste of time and at best, a mental exercise. It makes does not make any difference in management or treatment modalities. More than likely, you will manage based on symptoms and not what the EKG shows, so why waste time? If the patient is hypotensive, then you will give fluids, if not, you won't and you are off to the cath lab. So next time you get asked about the right sided leads, stand up for yourself and ask why?

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