Template:ST elevation DDX: Difference between revisions
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*[[Drugs of abuse]] (eg, cocaine, crack, meth) | *[[Drugs of abuse]] (eg, cocaine, crack, meth) | ||
*[[Pericarditis]] | *[[Pericarditis]] | ||
*[[Myocarditis]] | *[[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 | *[[Aortic dissection]] in to coronary | ||
*[[LV aneurysm]] | *[[LV aneurysm]] | ||
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**[[Hypothermia]] ("Osborn J waves") | **[[Hypothermia]] ("Osborn J waves") | ||
**[[Brugada syndrome]] | **[[Brugada syndrome]] | ||
**[[Takotsubo cardiomyopathy]] | |||
Revision as of 14:26, 16 August 2015
ST Elevation
- Myocardial infarct (STEMI)
- Post-MI (ventricular aneurysm pattern)
- Previous MI with recurrent ischemia in same area
- Wellens' syndrome
- Coronary spasm (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
- LBBB
- LVH
- Myocardial tumor
- Myocardial trauma
- External compression of artery
- Misc
- Meds: TCAs, digoxin
- RV pacing (appears as LBBB)
- Hyperkalemia (only leads V1 and V2)
- Hypothermia ("Osborn J waves")
- Brugada syndrome
- Takotsubo cardiomyopathy