ECG in STEMI
[Pages:47]ECG in STEMI
Importance and Challenges
Rabeea Aboufakher, MD, FACC, FSCAI Cath Lab Director
Altru Health System Grand Forks, ND
Disclosures
? No relevant disclosures
Overview
? Introduction ? ECG in the diagnosis of STEMI ? LBBB/paced rhythm/LVH ? Acute pericarditis/myocarditis ? Early repolarization ? Other causes of ST elevation
? Stress induced CMP ? PE ? Ventricular aneurysm
Introduction
Acute Coronary Syndromes
? Coronary heart disease is a major cause of death and disability in developed countries and the world
? Unstable coronary disease (ACS) is characterized by plaque rupture or erosion with associated thrombosis
? STEMI ? NSTEMI ? Unstable angina
? STEMI is a true medical emergency
Time is Muscle
Outcomes based on time to reperfusion
Classification of ACS
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