Podcast 696: ST Elevation and Differential Diagnoses
Emergency Medical Minute · medicalminute
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Show Notes
Contributor: Peter Bakes, MD
Educational Pearls:
- ST elevation clinical guidelines for myocardial infarction include:
-
- 2.5 mm elevation for males
- 2 mm elevation in males >40 in V2 and V3
- 1.5 mm elevation for females in V2 and V3
- 1 mm elevation in 2 or more contiguous leads (not V2 or V3)
- Differential diagnosis of ST elevation includes, but is not limited to:
-
- STEMI
- Electrolyte abnormalities
- Pericarditis/myocarditis
- Brugada syndrome
- LVH
- Bundle branch blocks
- Ventricular aneurysm
References
de Bliek EC. ST elevation: Differential diagnosis and caveats. A comprehensive review to help distinguish ST elevation myocardial infarction from nonischemic etiologies of ST elevation. Turk J Emerg Med. 2018;18(1):1-10. Published 2018 Feb 17. doi:10.1016/j.tjem.2018.01.008
Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD
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