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Implementing a comprehensive STEMI protocol to improve care metrics and outcomes in patients with in-hospital STEMI: an observational cohort study

Open Heart

Methods This study included consecutive patients with iSTEMI treated with percutaneous coronary intervention (PCI) between 1 January 2011 and 15 July 2019 at a single, tertiary referral centre.

STEMI 52
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Occlusion myocardial infarction is a clinical diagnosis

Dr. Smith's ECG Blog

She contacted her neighbor, a nurse, for help. Recall from this post referencing this study that "reciprocal STD in aVL is highly sensitive for inferior OMI (far better than STEMI criteria) and excludes pericarditis, but is not specific for OMI." Immediate versus delayed invasive intervention for non-stemi patients. Kontos, M.

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Watch what happens when "pericarditis" and morphine cloud your judgment

Dr. Smith's ECG Blog

At 0800 the cardiology fellow is called to the bedside by the nurse as the patient again complains about 4/10 chest pain. Despite ongoing chest discomfort and an uptrending troponin, he never meets STEMI criteria. Despite having acute coronary occlusion by cath, his ECGs never met STEMI criteria. ng/mL (mildly elevated).