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156. Time is Tissue - An Approach to STEMI

The Intern At Work: Internal Medicine

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Acute Coronary Artery Sterrum - Acute Heart Disease

The e c g antreponen will allow you to categorize the type of acute coronary sindrum your patient is having. Earliest changes in stemi can be the presentation of hyperacute tea waves, representing regional hyper clemia. Acute posterior wall m i can demonstrate st elevations in leads placed over the back of the heart associated with reciprocal changes in the anterior leads. A negative troponent on presentation does not exclude injury, and actually may be very common in stemi where the e c g will be your primary method of diagnosis. The combination of st elevation in certain territories, combined with reciprocal changes can help you identify the territory of infraction.

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