Golden-Hour Coronary Rescue: 54-Year-Old Educator Survives Massive Anterior Heart Attack Within Minutes of Arrival
01 Patient Presentation & Clinical Challenge
At 1:50 AM, 54-year-old educator Mr. Mahbubur Rahman woke up drenched in cold sweat with severe central chest heaviness radiating to his left jaw and arm. By the time his family reached DCIMCH 24/7 Emergency (2/1 Ring Road, Shyamoli) at 2:15 AM, his blood pressure had dropped to 84/56 mmHg with dangerous ventricular ectopy.
A bedside 12-lead ECG performed within 4 minutes of arrival confirmed an extensive Acute Anterior Wall ST-Elevation Myocardial Infarction (STEMI)—where every passing minute risks irreversible heart muscle loss.
02 Multidisciplinary Hospital Intervention
The Emergency Medical Officer immediately triggered DCIMCH’s Code STEMI Golden-Hour Pathway, transferring the patient directly via priority bed elevator to the Coronary Care Unit (CCU) under the Cardiology team led by Asst. Prof. Dr. Rashid Ahmed.
- Immediate dual antiplatelet loading, hemodynamic vasopressor support, and continuous invasive telemetry stabilization.
- Targeted coronary reperfusion protocol initiated well inside the Golden Hour, achieving rapid ST-segment resolution and relief of ischemic chest pain.
- Bedside 2D & Color Doppler Echocardiography, serial cardiac troponin/electrolyte tracking via GenXPro LIMS, and structured post-MI cardiac rehabilitation counseling.
03 Recovery Outcome & Follow-Up
Within 48 hours, Mr. Rahman was weaned off intensive support and stepped down to a single AC cabin. He walked home independently on Day 5 with a structured secondary-prevention regimen and GenXPro follow-up schedule, resuming his teaching duties three weeks later with preserved left ventricular function (LVEF 54%).
“At 2 AM when my chest felt unbearable, the speed and calmness of DCIMCH’s Emergency and CCU doctors gave me a second life. Within four minutes of entering the gate, my ECG was done and treatment had already started.”
