75. A 74-year old male is brought into the emergency departm…
75. A 74-year old male is brought into the emergency department with a chief complaint of substernal chest pressure for the past 30 minutes. This is associated with nausea and diaphoresis. He has a history of angina, which was previously relieved with nitroglycerin (NTG). His pain persists despite nitroglycerin. Physical exam reveals a heart rate of 80 bpm, respiration of 30 bpm, and BP of 104/60 mmg. The EKG demonstrates ST elevation in leads II, III, and aVF. Based on these symptoms and findings, the ACNP knows that which wall of the heart is affected.