Template:ST elevation DDX: Difference between revisions

Latest revision as of 14:38, 6 April 2019

ST Elevation

Cardiac
- ST-segment elevation myocardial infarction (STEMI)
- Post-MI (ventricular aneurysm pattern)
- Previous MI with recurrent ischemia in same area
- Wellens' syndrome
- Coronary artery vasospasm (eg, Prinzmetal's angina)
- Coronary artery dissection
- Pericarditis
- Myocarditis
- Aortic dissection in to coronary
- Left ventricular aneurysm
- Left ventricular pseudoaneurysm
- Early repolarization
- Left bundle branch block
- Left ventricular hypertrophy (LVH)
- Myocardial tumor
- Myocardial trauma
- RV pacing (appears as Left bundle branch block)
- Brugada syndrome
- Takotsubo cardiomyopathy
- AVR ST elevation
Other thoracic
Metabolic
- Drugs of abuse (eg, cocaine, crack, meth)
  - Cocaine chest pain
- Hyperkalemia (only leads V1 and V2)
- Hypothermia ("Osborn J waves")
Medications
- Tricyclic (TCA) toxicity
- Digoxin

@@ Line 1: / Line 1: @@
 ===[[ST elevation|ST Elevation]]===
-*Myocardial infarct ([[STEMI]])
+*Cardiac
-*Post-MI (ventricular aneurysm pattern)
+**[[ST-segment elevation myocardial infarction]] (STEMI)
-*Previous MI with recurrent ischemia in same area
+**Post-MI (ventricular aneurysm pattern)
-*[[Wellens' syndrome]]
+**Previous MI with recurrent ischemia in same area
-*[[Coronary spasm]] (eg, Prinzmetal's angina)
+**[[Wellens' syndrome]]
-*[[Drugs of abuse]] (eg, cocaine, crack, meth)
+**[[Coronary artery vasospasm]] (eg, Prinzmetal's angina)
-*[[Pericarditis]]
+**[[Coronary artery dissection]]
-*[[Myocarditis]]
+**[[Pericarditis]]
-*Myocardial tumor
+**[[Myocarditis]]
-*[[Myocardial trauma]]
+**[[Aortic dissection]] in to coronary
-*[[External compression of artery]]
+**[[Left ventricular aneurysm]]
-*[[Aortic dissection]] in to coronary
+**[[Left ventricular pseudoaneurysm]]
-*[[LV aneurysm]]
+**[[Early repolarization]]
-*[[Early repolarization]]
+**[[Left bundle branch block]]
-*[[LBBB]]
+**[[Left ventricular hypertrophy (LVH)]]
-*[[LVH]]
+**Myocardial tumor
-*Misc
+**[[Myocardial trauma]]
-**Meds: [[TCAs]], [[digoxin]]
+**RV pacing (appears as [[Left bundle branch block]])
-**RV pacing (appears as [[LBBB]])
+**[[Brugada syndrome]]
+**[[Takotsubo cardiomyopathy]]
+**[[AVR ST elevation]]
+*Other thoracic
+**[[Pneumomediastinum]]
+**[[Pneumothorax]]
+**[[Pulmonary embolism]]
+*Metabolic
+**[[Drugs of abuse]] (eg, cocaine, crack, meth)
+***[[Cocaine chest pain]]
 **[[Hyperkalemia]] (only leads V1 and V2)
 **[[Hypothermia]] ("Osborn J waves")
-**[[Brugada syndrome]]
+*Medications
+**[[Tricyclic (TCA) toxicity]]
+**[[Digoxin]]