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Copy of stemi on ekg

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by

kathy okinaga

on 26 September 2012

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Transcript of Copy of stemi on ekg

Thank you for your attention! And one more thing... 12 lead EKG inferior
II,III,AVF STEP 3 STEP 1 STEMI st elevation
>1mm in limb leads
>2mm in chest leads
in concordant leads 12 lead EKG

anterior
V3-V4 Common Terminologies for the
Coronary Arteries
LM left main
LAD-left anterior desending
Cx-circumflex
RCA right coronary artery Cath report
for answer st elevated myocardial infarction Will you wear my pin? Lateral
I,AVL,V5,6 posterior
V1,V2 depression STEP 2 associate the vessel anterior-LAD
inferior-RCA
lateral-Cx signs & symptoms
anterior
CHB
2nd degree HB type II
Pulmonary edema
Cardiogenic shock
inferior
brady arrythmias
2nd degree HB type I
nausea/vomiting
posterior
decrease preload
hypotension http://www.ecglibrary.com/ami.html http://www.ecglibrary.com/infmi.html http://www.ecglibrary.com/highk.html http://www.ecglibrary.com/postlat.html reciprical changes General EKG Changes suggestive of Ischemia

Electrocardiogram may be completely normal
ST Elevation or ST depression
Over 1 mm ST changes that are transient with symptoms
Summed ST deviation (sum of affected leads) >2.5 mm
Holmvang (2003) J Am Coll Cardiol 41:905-15
Deep symmetric T-wave inversion
Occurs in multiple precordial leads
Left main Coronary Artery stenosis marker
aVR ST segment elevation > V1 ST segment elevation
Gaitonde (2003) Am J Cardiol 92:846-8 posterior-reciprical changes GHS critical value policy posterior MI-PDA/CX
septal MI-LAD
septal branch THE BIG ONE!
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