Download - Acute coronary syndromes
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Paleerat Jariyakanjana, MD
Emergency Physician
Faculty of Medicine
Naresuan University
27 Dec 2012
Acute Coronary Syndromes
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Anatomy
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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
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DIAGNOSIS
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http://ecg-interpretation.blogspot.com/2012/07/ecg-interpretation-review-47-normal.html
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http://lifeinthefastlane.com/ecg-library/basics/left-ventricular-hypertrophy/
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http://www.learntheheart.com/GALV-Aneurysm.html
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http://www.heartpearls.com/tag/ecg-in-pericarditis
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http://www.learntheheart.com/GALBBB.html
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http://www.emedu.org/ecg/crapsanyall.php
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http://lifeinthefastlane.com/ecg-library/lmca/
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http://lifeinthefastlane.com/ecg-library/basics/high-lateral-stemi/
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Electrocardiography
initial 12-lead ECG within 10 minutesInferior wall AMIs: V4R obtained
nondiagnostic tracing: repeated at 15-30 minute intervals
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Electrocardiography
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Electrocardiography
ECG in emergency medicine and acute care, 1st ed
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TREATMENT
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STEMI: reperfusion percutaneous coronary intervention (PCI) fibrinolytic therapy
Goals PCI: within 90 minutes of ED arrival Fibrinolysis: within 30 minutes of ED arrival
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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
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ANY QUESTIONS?