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Internal Medicine - Emma Holliday Ramahi
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2mm ST elevation
- STE immediately
- T wave inversion 6hrs-yrs
- Q waves last forever
new LBBB (wide, flat QRS)
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STEMI on ECG?
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Terms in this set (409)
2mm ST elevation
- STE immediately
- T wave inversion 6hrs-yrs
- Q waves last forever
new LBBB (wide, flat QRS)
STEMI on ECG?
Anterior: LAD - V1-4
Lateral: Circumflex - I, aVL, V4-6
Inferior: RCA - II, III, aVF
RV: RCA - V4 on R side ECG!
Localized infarcts on ECG?
[Anterior, Lateral, Inferior, RV]
Cath lab
...
Thrombolytics
w/in 6hrs
Contra: bleeding, hx hemorrhagic stroke, recent closed head trauma
Emergency reperfusion options? Contraindications?
Sx: HoTN, tachycardia, clear lungs, JVD, and NO pulsus paradoxus.
Txt: vigorous fluid resuscitation, increase preload. DON'T give nitro, will worsen sx
RV infarct Sx? Txt?
ECG
Cardiac enzymes
CP workup?
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