Literature Review: Resolution of ST elevation in STEMI

Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu

HPI

Paramedics are transporting a middle aged male with chest pain and an obvious inferior STEMI. They arrive to the emergency department and the following ECG is obtained on arrival about 12 minutes later:

Before watching the video, ask yourself:

    1. How often does a prehospital STEMI arrive with resolved ST elevation?
    2. Do serial 12 leads during EMS transport add any useful information in diagnosing a STEMI?
    3. Should you still activate the cath lab?