Featuring Dr. Jonathan Spagnola and Dr. Anand Swaminathan
Here are the top takeaways from the STEMI Equivalents Podcast:
1) Provider assessment of how the patient looks is extremely important. If it looks and feels like a STEMI clinically, get serial ECGs and consult Cardiology immediately.
2) POCUS has been a phenomenal tool in the management and early diagnosis of a lot of abnormal ECG and chest pain presentations.
3) Isolated elevation in aVR with diffuse ST depressions can be a sign of Left Main occlusion. History is important as this can also be seen in other sick patient populations (e.g. Sepsis).
4) De Winters T waves are the earliest sign of an anterior wall MI but will only be present in ~ 2% of LAD infarcts
5) Patients with Wellens Syndrome on ECG should have a cardiac cath within 24 hours, not necessarily within the first 60 minutes of ED arrival.
