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Medicine Acute coronary syndrome 514b025b

A 55-year-old female presents with Levine sign, hiccups, and vomiting episodes. On examination HR=50/min with BP =100/60 mm Hg with elevated JVP. ECG technician is yet to arrive. Which coronary aery is likely to be involved?

A
RCA
B
LAD
C
LCX
D
Left main coronary aery
High-Yield Explanation
The RCA supplies the circulation to most of the inferior myocardium. Proximal end in 60% of patients supplies the SA Node Distal end in 90% patients supplies the AV node. Thus occlusion of RCA -Bradycardia, hypotension The damaged RV irritates the diaphragm and leads to hiccoughs.

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