12-lead ECG and STEMI MasterClass
Instructional Hours: 4.00
Learning Objectives
- Describe coronary thrombus formation and the significance of platelet clot versus a fibrin clot
- Predict thrombus type based on ECG findings
- Correctly apply current definitions of ST elevation and correctly evaluate ECG for presence of STEMI criteria
- Reduce ECG artifact through skin prep
- Locate the posterior wall of the left ventricle
- Recognize indication for and process to acquire posterior ECG leads
- Apply ST elevation criteria to posterior leads
- Discuss the physiologic rationale for the dynamic changes of the ST segment during STEMI
- Describe the importance of Serial ECGs to increase correct STEMI identification
- Describe the importance of obtaining early ECGs to increase correct STEMI identification
- Explain the difference between ischemia, injury and infarct based on ECG findings
- Describe the anticipated evolutionary waveform changes indicative of STEMI
- Describe the anticipated ECG patterns of reciprocal changes form STEMI
- Define STEMI impostor
- Recall the most commonly encountered STEMI impostors
- Analyze ECG to identify or rule out voltage criteria for LVH
- Analyze ECG to rule out BBB and ventricular rhythms
- Analyze ECG to functionally rule out early repolarization and pericarditis as cause of ST elevation
- Evaluate clinical presentation to functionally rule out early repolarization as likely causes of ST elevation
- Categorize ECG findings as either: STEMI likely, STEMI unlikely or Consider STEMI
- Express the complexities of evaluating the possibility of STEMI in the presence of a STEMI impostor
- Formulate a STEMI alert decision by integrating the patient's clinical presentation, clinician's assessment of the ECG findings and specific information from the device