Podcast 628: ST Elevation

Podcast 628: ST Elevation

Contributor: Peter Bakes, MD

Educational Pearls:

  • STEMI criteria is not just 1mm elevation in contiguous leads
    • 1.5 mm in V2-V3 for women
    • 2.0 mm in V2-V3 for men
    • 2.5 mm in V2-V3 for men under 40
  • Inferior MI typically have ST elevation in leads II, III and aVF
    • Usually inferior MI's show reciprocal changes (ST depression) in the lateral leads.
  • Lateral MI typically elevation in V5, V6, I, and aVL
  • Anterior MI show elevation in leads V1-4
  • Right sided MIs have mixed pattern, showing elevation in V1-V2 and V4 along with the inferior leads.
  • Right sided MI's are very sensitive to nitrates, especially if they become intubated because this combination can drop pre-load significantly leading to profound hypotension

References

Akbar H, Foth C, Kahloon RA, et al. Acute ST Elevation Myocardial Infarction. [Updated 2020 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532281/

Namana V, Gupta SS, Abbasi AA, Raheja H, Shani J, Hollander G. Right ventricular infarction. Cardiovasc Revasc Med. 2018 Jan;19(1 Pt A):43-50. doi: 10.1016/j.carrev.2017.07.009. Epub 2017 Jul 14. PMID: 28822687.

Summarized by Jackson Roos, MS4 | Edited by Erik Verzemnieks, MD

The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at www.emergencymedicalminute.com/cme-courses/ and create an account.

Avsnitt(1146)

CBHW Summit: Safe Prescribing 101/201

CBHW Summit: Safe Prescribing 101/201

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Christopher Urbina, MD, MPH, Colorado Consortium for Prescription Drug Abuse Prevention

27 Nov 20191h 8min

CBHW Summit: Male Mental Health - A Crisis in Public Health

CBHW Summit: Male Mental Health - A Crisis in Public Health

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Jason Vitello, MSW, Behavioral Health Coordinator, Denver Public Health/CPHA

27 Nov 201952min

CBHW Summit: Children's Mental Health

CBHW Summit: Children's Mental Health

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Sarah Davidon, EdD, Director of Research & Child and Adolescent Strategy, Mental Health Colorado, and Sarah Younggren...

27 Nov 20191h 6min

CBHW Summit: Positive Psychology and Well-Being

CBHW Summit: Positive Psychology and Well-Being

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Carl Clark, MD, President & Chief Executive Officer, Mental Health Center of Denver

27 Nov 201923min

CBHW Summit: Words Matter - How Language Can Shift Public Thinking

CBHW Summit: Words Matter - How Language Can Shift Public Thinking

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Karen Prestia, MBA, Director, Marketing & Communications, Mental Health Center of Denver

27 Nov 201933min

CBHW Summit: Integrated Substance Use, Family Systems, and Culturally Responsive Treatment in Community Mental Health Settings

CBHW Summit: Integrated Substance Use, Family Systems, and Culturally Responsive Treatment in Community Mental Health Settings

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Allison Miller, LCSW, LAC, Program Manager of Child and Family Outpatient Services, Mental Health Center of Denver, a...

26 Nov 20191h 11min

CBHW Summit: Substance Use During the Perinatal Period

CBHW Summit: Substance Use During the Perinatal Period

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Tracy Vozar, Ph.D., Director of the Infant and Early Childhood Mental Health Specialty, and Jennifer M. Tippett, Psy...

26 Nov 20191h 5min

CBHW Summit: Strategies for Remaining Adaptive and Agile in Response to the Dynamic Issue of Substance (Mis)use

CBHW Summit: Strategies for Remaining Adaptive and Agile in Response to the Dynamic Issue of Substance (Mis)use

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Marion Rorke, MPH, Substance Use Resource Coordinator, City and County of Denver, and Maggie Kauffman, MPH, Health Eq...

26 Nov 201932min

Populärt inom Vetenskap

p3-dystopia
dumma-manniskor
svd-nyhetsartiklar
allt-du-velat-veta
kapitalet-en-podd-om-ekonomi
rss-ufo-bortom-rimligt-tvivel
det-morka-psyket
rss-vetenskapsradion
medicinvetarna
rss-vetenskapsradion-2
rss-experimentet
sexet
hacka-livet
rss-spraket
dumforklarat
pojkmottagningen
rss-arkeologi-historia-podden-som-graver-i-vart-kulturlandskap
rss-broccolipodden-en-podcast-som-inte-handlar-om-broccoli
halsorevolutionen
paranormalt-med-caroline-giertz