23 practice 4

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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