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* HATW : Hyperacute T Waves
* OHCA : OHCA without unfavorable resuscitation features
* Wellen's : wellen's waves + history of chest pain + normal/minimally elevated troponin
* BBB : LBBB with concordance or Sgarbossa-Smith modification for discordance > 0.25
* aVR ST Elevation with diffuse depressions : LM ischemia/occlusion, proximal LAD ischemia/occlusion, or TVD
* De Winter's T : ST depression + Peaked T waves
 
http://rebelem.com/rebellion-in-em-2018-stemi-equivalents-by-tarlan-hedayati-md/

 

 

 
 
 
 

 
 

 
 
OHCA with ROSC : 
Patients with unfavorable resuscitation features are not good candidates for cath lab : 
 - Unwitnessed arrest
 - Initial rhythm non-VF/VT
 - No bystander CPR
 - >30min to ROSC
 - Ongoing CPR
 - pH < 7.2
 - Lactate > 7
 - Age > 85 years
 - End Stage Renal Disease
 - Non-cardiac causes (i.e. traumatic arrest)
 
 
 
 
 

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* D1 LAD :
 
  • STE + 大 T over aVL, V2
  • STD + Tinv over III, aVF
 
 

screenshot-20170104-231507_orig.jpg

 
 
 

 

 
 
 
 
 
 
 
 

 
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