jueves, 31 de agosto de 2017

Acute Myocardial Infarction in patients presenting with ST-segment elevation (Management of) ESC Clinical Practice Guidelines.2.017

Acute Myocardial Infarction in patiente presenting with ST-segment elevation (Management of) ESC Clinical Practice Guidelines 2017

1 comentario:

  1. In the proper clinical context, ST-segment elevation (measured at
    the J-point) is considered suggestive of ongoing coronary artery acute
    occlusion in the following cases: at least two contiguous leads with ST-segment elevation >=2.5 mm in men < 40 years,
    >= 2mm in men > 40 years, or >= 1.5 mm in women in leads V2–V3 and/or >= 1mm in the other leads [in the absence of left ventricular (LV) hypertrophy or left bundle branch block LBBB)]
    Likewise, ST-segment depression in leads V1
    –V3 suggests myocardial ischaemia, especially when the terminal T-wave is positive (ST-segment elevation equivalent), and confirmation by concomitant ST-segment elevation >= 0.5 mm recorded in leads
    V7–V9 should be considered as a means to identify posterior MI
    - Oxygen is indicated in patients with hypo-
    xaemia (SaO2 < 90% or PaO2 < 60 mmHg. Routine oxygen is not recommended in patients with SaO2
    >= 90%

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