Category: STEMI Bypass

If a patient only has ST elevation in 2 or more contiguous leads and reciprocal changes can I go to the HI?

Question:

If a patient DOES NOT HAVE chest pain, or discomfort or jaw or arm pain but has ST elevation in 2 or more contiguous leads and reciprocal changes do you go to the Heart Institute?

Answer:

The patient must have chest pain and signs of active ischemia compatible with an Acute Coronary event. The reason is that there are many STEMI impostors on an ECG: LLLB, old anterior wall MI, early repolarization in young, hyperkalemia and other metabolic disorders, etc. This prevents many overcalls. We also have a safety net, that if you go to the ED, and they find that it's a STEMI, then they will activate it and send them then. No fault on any part.

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