Diffuse ST elevation, without reciprocal ST depression, mostly in inferior limb leads and lateral precordial leads. This is very typical for pericarditis.
Clinical factors that INCREASE likelihood of ACS/AMI: CP radiating bilaterally > right > left Diaphoresis associated with CP N/V associated with CP Pain with exertion
What you need to know It is a longstanding cultural norm to provide supplemental oxygen to sick patients regardless of their blood oxygen saturation A recent systematic review and meta-analysis has shown that too much supplemental oxygen increases mortality for medical patients in the hospital For patients receiving oxygen therapy, aim for peripheral capillary oxygen […]
Colours correspond to Class of Recommendation.*Atropine should not be given in patients after heart transplant.†In patients with drug toxicity and severe symptoms, preparation for pacing should proceed simultaneously with pharmacologic treatment of drug toxicity.AADs indicates antiarrhythmic drugs; AV, atrioventricular;BB, beta blocker; CCB, calcium channel blocker; COR, Class of Recommendation;ECG, electrocardiographic; H+P, history and physical examination; IMI, inferior […]
Hyperacute T-waves are often the first manifestation of complete vessel occlusion; they are wide, bulky and prominent. Hyperacute T-waves are not necessarily tall, and small T-waves can still be hyperacute when paired with a low-amplitude QRS complex. De Winter T-waves represent LAD occlusion (a STEMI equivalent) requiring immediate revascularization. Previously inverted T-waves can appear normal and upright in […]