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?