Stemi vs nstemi ekg
[DOC File]2005-04-25
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-Only STEMI clearly benefit from urgent (ASAP) revascularization-Still unclear if pts with NSTEMI/UA benefit from early (within 48h) revasc vs. conservative mgt-Conservative mgt means cath is performed only if pt has recurrent isch or positive stress testing-Earlier trials (TIMI IIIB, VANQWISH, MATE,) had studied this question, but most found no difference in mortality; many …
[DOC File]ITE Review: Cardiovascular
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ST elevation (>1 mV elevation in 2 or more adjacent limb leads or in 2 or more adjacent precordial leads with reciprocal depression) was the most discriminating single ECG feature for diagnosis of STEMI (likelihood ratio [LR] of 13.1; 95% confidence interval [CI], 8.28–20.6).11 Emergency physicians blinded to biomarker results established the diagnosis of STEMI using admission …
[DOC File]TACTICS-TIMI 18
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EKG: Get one and know what a STEMI looks like-Anterior (LAD)- V1-V4, reciprocals in inferior leads-Lateral (LAD/circumflex)- I, avL, V5-6 -Inferior (right CA)- II, III, avF, depression in V1-4-Right Ventricular Wall (right CA) – V3r and V4r, usually happens with inferior-think hypotensive and cardiogenic shock-Posterior (circumflex off right) – depression in anterior leads, …
[DOC File]Manitoba ACS Network
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(ECG/EKG) as non-ST segment elevation myocardial infarction (NSTEMI) and ST segment elevation myocardial infarction (STEMI). ACS should be distinguished from stable angina, which develops during exertion and resolves at rest. In contrast with stable angina, unstable angina occurs suddenly, often at rest or with minimal exertion, or at lesser degrees of exertion than the …
[DOC File]Cardiology - Stanford University
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There is already a Class 1 recommendation for early CC & PCI in the setting of STEMI following cardiac arrest, but the data on early CC in comatose post-arrest patients without STEMI is very limited. Post-resuscitation electrocardiogram (ECG) is often unreliable and lack of ST-elevation has a poor sensitivity for the diagnosis of acute coronary occlusion. Recently the American …
[DOCX File]CAD Teaching Service and Consult Fellow
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The AUC for TC vs STEMI was 0.98 (0.94 to 0.99) and TC vs NSTEMI was 0.81 (0.72 to 0.88) (Figure 2). The InterTAK registry study group[40] compared matched cohorts of 455 TC (out of 1750 TC patients in InterTAK registry) and 455 ACS patients. Median troponin levels in TC were not significantly different from ACS but CK and BNP levels were significantly different.
[DOC File]Part 5: Acute Coronary Syndromes
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In STEMI, incidence of VT or VF 10%; about 80-85% occurred in first 48 hours . In NSTEMI, overall incidence of VT or VF about 2.1%; median time to arrhythmia was 78 hrs, 25-75th percentile 16 hrs-7 days. Accelerated idioventricular arrhythmia (50-110 bpm) Originally seen as reperfusion rhythm. May occur in up to 40%; generally considered benign
[DOCX File]1. Introduction - Marsland Press
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For all NSTEMI transfers, have the referring physician fax an EKG to ensure the case is not a missed STEMI, and review the guidance for CICU vs. stepdown for NSTEMI admission. If a referring hospital calls the fellow phone for a case of STEMI, the fellow should initiate a conference call from the fellows phone with Life Flight to facilitate transportation and cath lab …
NSTEMI: Symptoms, Diagnosis, and How It Compares to STEMI
In the Province of Manitoba, ACS including unstable angina, non-ST-segment elevation MI (NSTEMI), and ST segment elevation MI (STEMI) is a major reason for hospitalization and death. Data for Manitoba from the Canadian Institute for Health Information (CIHI) indicates that in 2011 age-standardized rate/100,000 for NSTEMI and STEMI is 230 with 6.6% 30 day mortality and a …
[DOCX File]REBEL EM
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Pemeriksaan EKG 12 sandapan harus dilakukan pada semua pasien dengan nyeri dada atau keluhan yang dicurigai STEMI, dalam waktu 10 menit sejak kedatangan di IGD sebagai landasan dalam menentukan keputusan terapi reperfusi (Farissa, 2006). Tujuan penatalaksan dari STEMI adalah Reperfusi. Terapi reperfusi harus dilakukan sesegera mungkin dalam waktu 12 jam setelah onset gejala dari STEMI …
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