Post on 26-May-2015
Paleerat Jariyakanjana, MD
Emergency Physician
Faculty of Medicine
Naresuan University
27 Dec 2012
Acute Coronary Syndromes
Anatomy
Anatomy
LAD: anterior & septal regions LCx
some of the anterior wall large portion of the lateral wall
RCA: right side of the heart with blood some perfusion to the inferior aspect of the left
ventricle through the posterior descending artery
DIAGNOSIS
http://ecg-interpretation.blogspot.com/2012/07/ecg-interpretation-review-47-normal.html
http://lifeinthefastlane.com/ecg-library/basics/left-ventricular-hypertrophy/
http://www.learntheheart.com/GALV-Aneurysm.html
http://www.heartpearls.com/tag/ecg-in-pericarditis
http://www.learntheheart.com/GALBBB.html
http://www.emedu.org/ecg/crapsanyall.php
http://lifeinthefastlane.com/ecg-library/lmca/
http://lifeinthefastlane.com/ecg-library/basics/high-lateral-stemi/
Electrocardiography
initial 12-lead ECG within 10 minutesInferior wall AMIs: V4R obtained
nondiagnostic tracing: repeated at 15-30 minute intervals
Electrocardiography
Electrocardiography
ECG in emergency medicine and acute care, 1st ed
TREATMENT
STEMI: reperfusion percutaneous coronary intervention (PCI) fibrinolytic therapy
Goals PCI: within 90 minutes of ED arrival Fibrinolysis: within 30 minutes of ED arrival
Reference
Tintinalli's Emergency Medicine, 7eTintinalli's Emergency Medicine Manual,
7eECG in emergency medicine and acute
care, 1st edCritical Decisions in Emergency and Acute
Care Electrocardiography
ANY QUESTIONS?