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 artery vasospasm]] (eg, Prinzmetal's angina)
+**[[Wellens' syndrome]]
-*[[Drugs of abuse]] (eg, cocaine, crack, meth)
+**[[Coronary artery vasospasm]] (eg, Prinzmetal's angina)
-**Be aware that these can also cause Wellen's
+**[[Coronary artery dissection]]
-*[[Pericarditis]]
+**[[Pericarditis]]
-*[[Myocarditis]] - unless clearly related viral syndrome, can't risk stratify clinically with EKG or troponins and must go to cath lab
+**[[Myocarditis]]
-*[[Aortic dissection]] in to coronary
+**[[Aortic dissection]] in to coronary
-*[[LV aneurysm]]
+**[[Left ventricular aneurysm]]
-*Early repolarization
+**[[Left ventricular pseudoaneurysm]]
-*[[Left bundle branch block]]
+**[[Early repolarization]]
-*[[Left ventricular hypertrophy (LVH)]]
+**[[Left bundle branch block]]
-*[[Pneumomediastinum]]
+**[[Left ventricular hypertrophy (LVH)]]
-*[[Pneumothorax]]
+**Myocardial tumor
-*Myocardial tumor
+**[[Myocardial trauma]]
-*[[Myocardial trauma]]
+**RV pacing (appears as [[Left bundle branch block]])
-*External compression of artery
+**[[Brugada syndrome]]
-*Medications: [[Tricyclic (TCA) toxicity]], [[Digoxin]]
+**[[Takotsubo cardiomyopathy]]
-*RV pacing (appears as [[Left bundle branch block]])
+**[[AVR ST elevation]]
-*[[Hyperkalemia]] (only leads V1 and V2)
+*Other thoracic
-*[[Hypothermia]] ("Osborn J waves")
+**[[Pneumomediastinum]]
-*[[Brugada syndrome]]
+**[[Pneumothorax]]
-*[[Takotsubo cardiomyopathy]]
+**[[Pulmonary embolism]]
+*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]]