We have recently updated the departmental chest pain pathway. When a patient presents with chest pain suspicious for cardiac ischaemia an ECG should be performed immediately. Not all patients with critical ischaemia present with ST-Elevation on their ECG. The ECG patterns below are STEMI equivalents and if found in a patient with the right clinical presentation should prompt an urgent senior review with early discussion with cardiology. Source: Asatryan B et al,Electrocardiographic diagnosis of life threatening STEMI Equivalents, JACC:case reports, 2019, 1(4)
Dr Martin Dore
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