A case of NSTEMI myocardial infarction on the MESI mTABLET ECG

The Arcus Medici family medicine and kinesiology centre is in Žiri, a small town in Northwestern Slovenia. The biggest daily challenge for the team is their distance from the nearest hospital, which is a 50-minute drive away. Technology is one of the most important means of bridging this gap, especially in emergency situations like the one below. 

Case study

In the summer of 2022, Dr. Jaka Strel, specialist of family medicine, was visited by a 55-year-old male patient with hypothyroidism and diabetes (receiving per os therapy). The patient complained of persistent chest pain.  

The pain had first appeared a week before, but the patient ascribed it to inappropriate bicycle settings. However, the problems resurfaced a day before his GP visit. This time, it was a constant throbbing pain in the centre of his chest and independent of his breathing, exertion or position of the body. The patient did not feel nauseous.   

Due to a history of stenocardial pain and cardiovascular risk factors, an ECG was performed. The MESI mTABLET ECG showed the following warnings of abnormalities: 

After a consultation and ECG result sharing with the Department of Intensive Internal Medicine at the University Medical Centre Ljubljana (capital of Slovenia), an ambulance was dispatched to take the patient there. The diagnosis was acute subendocardial myocardial infarction (NSTEMI myocardial infarction). 

During coronary angiography, a stent was inserted into the LCX artery due to a 90% thrombosis. After the procedure, the patient underwent cardiac rehabilitation. He is now monitored by his GP and a cardiologist. His latest results show appropriate heart function and physical capacity. 

Effective patient assessment is vital in emergencies. The MESI mTABLET offers instant diagnostic measurement sharing with external medical service providers and thus contributes to faster patient referral and treatment.   

Jaka Strel, MD, is a family medicine specialist at the Arcus Medici centre in Žiri, Slovenia.