97 results
Reperfusion Management of Myocardial Infarction with ST-segment Elevation (STEMI)

#STEMI #PCI #Fibrinolysis #Transfer #Reperfusion #Algorithm #Timeline #Cardiology
Reperfusion Management ... Infarction with ST-segment ... Elevation (STEMI ... ) #STEMI #PCI ... #Reperfusion #Algorithm
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
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
Acute Coronary Syndrome - Management Algorithm
 • STEMI
 • NSTEMI (Troponin Positive) / Unstable Angina (UA,
Coronary Syndrome - Management ... AlgorithmSTEMI ... • NSTEMI (Troponin ... Syndrome #ACS #Management ... #Algorithm #cardiology
Recommendations for initial management of Unstable Angina/NSTEMI

Flowchart for class I and class lla recommendations for initial
Recommendations for initial management ... Unstable Angina/NSTEMI ... angina/non— ST-segment ... infarction (UA/NS TEMI ... #Algorithm #Cardiology
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
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI vs STEMI ... - Differential Algorithm ... The name STEMI ... believe that the ST ... #Differential #Algorithm
General Algorithms for Assessment of the Left Ventricular Assist Device (LVAD) (Algorithms 1, 2 and 3)

Algorithm
Assist Device (LVAD ... Assist Device (LVAD ... 2: LVAD troubleshooting ... life #Diagnosis #LVAD ... #Management #BMJ
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Diagnosis Framework STEMI ... Opposing leads ST ... ventricle pacing lead ... #STEMI #Segment