Tagged ‘STEMI’
Core
ST Elevation Myocardial Infarction in LBBB
The presence of a LBBB makes the diagnosis of an acute MI challenging. We review the topic here in an effort to shed light on this area.
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Core
Pericarditis
This post reviews the diagnosis and management of pericarditis with a focus on not missing the hidden STEMI.
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Journal Review
Validation of the Modified Sgarbossa Criteria
It has been recognized since the 1940s that the presence of a Left Bundle Branch Block (LBBB) obscures the EKG diagnosis of myocardial infarction (MI). The publication of the Sgarbossa criteria in 1996 aided in clarifying this issue.
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Journal Review
Risks of Aggressive Reduction of Door-to-Balloon Time
The advent of percutaneous coronary intervention (PCI) led to a decrease in morbidity and in-hospital mortality for patients presenting with ST-elevation myocardial infarctions (STEMI). In 1999 the American College of Cardiology and American Heart Association updated their guidelines with the benchmark door-to-balloon time (DTB) to be less than 90 minutes.
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Journal Review
Prehospital Beta-Blockers in Anterior STEMI
Long-term oral beta-blocker use decreases mortality after myocardial infarction (MI). Our guidelines recommend initiation of this within 24 hours of acute MI. The benefit of IV beta-blockade is less clear.
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