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Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
Acute coronary syndromes
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Acute coronary syndromes

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  • 1. Acute Coronary Syndromes Paleerat Jariyakanjana, MD Emergency Physician Faculty of Medicine Naresuan University 27 Dec 2012
  • 2. Anatomy
  • 3. AnatomyLAD: anterior & septal regionsLCx  some of the anterior wall  large portion of the lateral wallRCA:  right side of the heart with blood  some perfusion to the inferior aspect of the left ventricle through the posterior descending artery
  • 4. DIAGNOSIS
  • 5. http://ecg-interpretation.blogspot.com/2012/07/ecg-interpretation-review-47-normal.html
  • 6. http://lifeinthefastlane.com/ecg-library/basics/left-ventricular-hypertrophy/
  • 7. http://www.learntheheart.com/GALV-Aneurysm.html
  • 8. http://www.heartpearls.com/tag/ecg-in-pericarditis
  • 9. http://www.learntheheart.com/GALBBB.html
  • 10. http://www.emedu.org/ecg/crapsanyall.php
  • 11. http://lifeinthefastlane.com/ecg-library/lmca/
  • 12. http://lifeinthefastlane.com/ecg-library/basics/high-lateral-stemi/
  • 13. Electrocardiographyinitial 12-lead ECG within 10 minutesInferior wall AMIs: V4R obtainednondiagnostic tracing: repeated at 15-30 minute intervals
  • 14. Electrocardiography
  • 15. Electrocardiography ECG in emergency medicine and acute care, 1st ed
  • 16. TREATMENT
  • 17. STEMI: reperfusion  percutaneous coronary intervention (PCI)  fibrinolytic therapyGoals  PCI: within 90 minutes of ED arrival  Fibrinolysis: within 30 minutes of ED arrival
  • 18. ReferenceTintinallis Emergency Medicine, 7eTintinallis Emergency Medicine Manual, 7eECG in emergency medicine and acute care, 1st edCritical Decisions in Emergency and Acute Care Electrocardiography
  • 19. ANY QUESTIONS?

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