23 practice 4
TRANSCRIPT
12-Lead ElectrocardiographySTEMI vs. STE-Mimic
Adam Thompson, EMT-P, A.S.
Practice
4
76 y/o Female
Shortness of Breath
76 y/o Female
Rate & Rhythm
76 y/o Female
Rate & Rhythm
1 2 3 4 5 6
76 y/o Female
Rate & Rhythm
1 2 3 4 5 6 7 8 9 10 11 12 13
76 y/o Female
Rate & Rhythm
1 2 3 4 5 6 7 8 9 10 11 12 13 13 x 10 = 130
76 y/o Female
Axis
Rate: 133Sinus Tachycardia
76 y/o Female
Axis
Rate: 133Sinus Tachycardia
Lead I aVF
Normal Positive (+) Positive (+)
RAD Negative (-) Positive (+)
LAD Positive (+) Negative (-)
ERAD Negative (-) Negative (-)
76 y/o Female
Axis
Rate: 133Sinus TachycardiaNormal Axis
76 y/o Female
Intervals & Morphology
Rate: 133Sinus TachycardiaNormal Axis
76 y/o Female
Intervals & Morphology
Rate: 133Sinus TachycardiaNormal Axis
76 y/o Female
STE-Mimics
Rate: 133Sinus TachycardiaNormal Axis
76 y/o Female
STE-Mimics
Rate: 133Sinus TachycardiaNormal Axis
E - Electrolytes (hyperkalemia)
L - LBBB
E - Early repolarization
V - Ventricular hypertrophy (LVH)
A - Aneurysm
T - Treatment (e.i. pericardiocentesis)
I - Injury (AMI, contusion)
O - Osborne waves (hypothermia)
N - Non-occlusive vasospasm
E - Electrolytes (hyperkalemia)
L - LBBB
E - Early repolarization
V - Ventricular hypertrophy (LVH)
A - Aneurysm
T - Treatment (e.i. pericardiocentesis)
I - Injury (AMI, contusion)
O - Osborne waves (hypothermia)
N - Non-occlusive vasospasm
76 y/o Female
Ischemia, Injury, Infarct
Rate: 133Sinus TachycardiaNormal Axis
76 y/o Female
Rate: 133Sinus TachycardiaNormal Axis
76 y/o Female
Ischemia, Injury, Infarct
Rate: 133Sinus TachycardiaNormal AxisInfero-Posterior & Lateral MI
B
The ECG Course
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