57 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... Algorithm The ... believe that the ST ... EMN @EMNews #ACS ... #Algorithm #cardiology
Acute Coronary Syndrome - Management Algorithm
 • STEMI
 • NSTEMI (Troponin Positive) / Unstable Angina (UA,
Syndrome - Management Algorithm ... • STEMI • NSTEMI ... Coronary #Syndrome #ACS ... #Management #Algorithm
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
electrocardiogram in the ACS ... anatomically oriented ST-segment ... Cardiology #ECG #EKG #STEMI
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Coronary Syndrome (ACS ... Definitions - Stable ... , STEMI 1 STABLE ... the setting of a stable ... Diagnosis #Cardiology #ACS
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... 0.5mm downgoing ST ... have no pain - LAD ... avR - proximal LAD
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... 1) Upsloping ST ... (>= 1 mm) 2) ST
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
myocardial infarction: ST ... anterior descending (LAD ... elevation in ACS ... diagnosis includes ACS ... aVR instead of ACS
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... RBBB normally has ST ... an isolectric ST ... STEMI Criteria misses ... @EM_RESUS #LAD
Reperfusion Management of Myocardial Infarction with ST-segment Elevation (STEMI)

#STEMI #PCI #Fibrinolysis #Transfer #Reperfusion #Algorithm #Timeline #Cardiology
Infarction with ST-segment ... Elevation (STEMI ... ) #STEMI #PCI ... #Reperfusion #Algorithm
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... Indications Cath Lab ... ASAP: STEMI NSTEMI ... -7) risk Cath lab ... /UA: stable, TIMI