STEMI (ST-Hebungsinfarkt): Diagnose, Kriterien, EKG & Management
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Posterior Wall STEMI: Essential Clinical Summary🚨 ⬅️ Artery Involved: · LCx (most common) or PDA (RCA-dominant) 📈 ECG Clues: · ST depression V1–V3 → anterior mirror · ST elevation ≥0.5mm in V7–V9 → confirmatory 💥 Deadly Complications: · Acute MR (papillary muscle rupture) · VSD rupture (day 3–5) · LV aneurysm → thrombus → embolism ⏳ Time-Critical: High mortality without immediate PCI ± surgical repair. #Cardiology #STEMI #CathLab #EKG #HeartAttack #MedEd | Abdallah Othman
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ECG Changes Over Time in MI 1. Minutes to ~ 30 mins Hyperacute T waves (tall, peaked) Earliest sign of ischemia 2. 30 mins to a few hours ST- segment elevation (STEMI) Indicates transmural ischemia Possible loss of R wave amplitude 3. Hours to 24 hrs Development of pathologic Q waves (wide/ deep) ST elevation may persist T waves begin to invert 4. Days (1-2 days) T wave inversion becomes prominent ST elevation resolves gradually Q waves deepen 5. Weeks to months Persistent Q waves (marker of inf
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