Literature Review: what do you do when ST-segment elevation in STEMI resolves before cath lab activation

Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu


HPI

A 49-year-old man presents with chest pain and diaphoresis while riding his bike. His ECG shows inferior and posterior STEMI. After aspirin and nitroglycerin, the patient’s symptoms resolve and the following repeat ECG is obtained:

Before watching this week’s video, ask yourself these questions:

  1. What do you do when ST-segment elevation in presumed STEMI resolves before cath lab activation?
  2. Would you activate the cath lab on a patient with suspected STEMI who becomes asymptomatic after medical treatment?