Some patients who experience transient arrhythmia may generally recover through their body's self-adjustment, requiring no intervention.
On the other hand, electrical injuries might cause heart damage in a more insidious manner, making it difficult for doctors to detect. Some cases of delayed death are only understood after an autopsy reveals the problem.
You wonder, if the ECG shows no abnormalities and cardiac enzyme levels aren't high, if doctors can't diagnose a myocardial infarction, what treatment should they use?
Note, the ST segment elevation generally only indicates myocardial ischemia, not necessarily myocardial infarction.
Student Xie's argument not only points to the patient having a myocardial infarction but also directly suggests a very severe heart muscle rupture.
How could a clinical attending physician easily believe a medical student's 'wild ideas'?
