Template:ST elevation DDX: Difference between revisions
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*Previous MI with recurrent ischemia in same area | *Previous MI with recurrent ischemia in same area | ||
*[[Wellens' syndrome]] | *[[Wellens' syndrome]] | ||
*[[Coronary | *[[Coronary artery vasospasm]] (eg, Prinzmetal's angina) | ||
*[[Drugs of abuse]] (eg, cocaine, crack, meth) | *[[Drugs of abuse]] (eg, cocaine, crack, meth) | ||
*[[Pericarditis]] | *[[Pericarditis]] | ||
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*[[LV aneurysm]] | *[[LV aneurysm]] | ||
*Early repolarization | *Early repolarization | ||
*[[ | *[[Left bundle branch block]] | ||
*[[LVH]] | *[[Left ventricular hypertrophy (LVH)]] | ||
*Pneumomediastinum | *Pneumomediastinum | ||
*Pneumothorax | *Pneumothorax | ||
| Line 19: | Line 19: | ||
*External compression of artery | *External compression of artery | ||
*Misc | *Misc | ||
** | **Medications: [[Tricyclic (TCA) toxicity]], [[Digoxin]] | ||
**RV pacing (appears as [[ | **RV pacing (appears as [[Left bundle branch block]]) | ||
**[[Hyperkalemia]] (only leads V1 and V2) | **[[Hyperkalemia]] (only leads V1 and V2) | ||
**[[Hypothermia]] ("Osborn J waves") | **[[Hypothermia]] ("Osborn J waves") | ||
**[[Brugada syndrome]] | **[[Brugada syndrome]] | ||
**[[Takotsubo cardiomyopathy]] | **[[Takotsubo cardiomyopathy]] | ||
Revision as of 06:39, 17 August 2015
ST Elevation
- Myocardial infarct (STEMI)
- Post-MI (ventricular aneurysm pattern)
- Previous MI with recurrent ischemia in same area
- Wellens' syndrome
- Coronary artery vasospasm (eg, Prinzmetal's angina)
- Drugs of abuse (eg, cocaine, crack, meth)
- Pericarditis
- Myocarditis - unless clearly related viral syndrome, can't risk stratify clinically with EKG or troponins and must go to cath lab
- Aortic dissection in to coronary
- LV aneurysm
- Early repolarization
- Left bundle branch block
- Left ventricular hypertrophy (LVH)
- Pneumomediastinum
- Pneumothorax
- Myocardial tumor
- Myocardial trauma
- External compression of artery
- Misc
- Medications: Tricyclic (TCA) toxicity, Digoxin
- RV pacing (appears as Left bundle branch block)
- Hyperkalemia (only leads V1 and V2)
- Hypothermia ("Osborn J waves")
- Brugada syndrome
- Takotsubo cardiomyopathy