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
簡單來看,就分成myocardial necrosis(1-3) and repolarization(5,6)兩大類比
回覆刪除較好記。