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    SubjectsMedicineInferior STEMI with RV Involvement — Avoid Nitrates
    ClinicalMedicine

    Inferior STEMI with RV Involvement — Avoid Nitrates

    1 MCQs in Medicine for NEET PG

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    A 58-year-old man with hypertension and 30 pack-year smoking history presents to the ED with crushing substernal chest pain for 90 minutes, diaphoresis, and nausea. On examination: BP 88/52, HR 50, JVP elevated 8 cm above sternal angle, lungs clear bilaterally, no murmur. A 12-lead ECG shows sinus bradycardia with ST elevation in II, III, aVF and ST depression in V1–V3. Right-sided lead ECG shows ST elevation ≥1 mm in V4R. The ECG pattern marked **A** in the diagram indicates inferior STEMI with right ventricular infarction. Which of the following medications should be AVOIDED in the acute management of this patient?

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