【醫學】ST elevation





鬆散的日子過了好一陣,

剛剛被大俠問了一個ST elevation鑑別診斷,

順便來復息一下:(摘自麻州小紅本)



1.STEMI:優先排除(door to balloon <90mins)

2.Coronary spasm(Prinzmetal's angina):CCB+Nitrate, Avoid beta-blocker

3.Pericarditis, Myocarditis, Endocarditis, Myocardial contussion:myocardial necrosis

4.Pulmonary embolism:不常見,但要keep in mind

5.Abnormal repolarization:LVH, LBBB, Hyperkalemia(不常見),Brugada syndrome(非洲常見)

6.Normal repolarization: Young adults over V2-V5

留言

  1. 簡單來看,就分成myocardial necrosis(1-3) and repolarization(5,6)兩大類比

    較好記。

    回覆刪除

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