On completion of this case you should have an understanding of:
- The Electrocardiogram (ECG) changes in ST Elevation Myocardial Infarction (STEMI) patients: Most patients will have ST segment elevation, but new left bundle branch block can also be seen. Since there are other potential causes of left bundle branch block, is important to consider the patient history and if possible to review old ECG”s.
- The initial monitoring and treatment that may be undertaken by paramedics prior to transfer to an intervention centre.
- The fact that a cardiac arrest is not uncommon in myocardial infarction and requires immediate life support from either bystanders or health care professionals.
- That primary Percutaneous Coronary Intervention (PCI) is the treatment of choice provided the patient can be transferred to the appropriate centre within 120 minutes of attendance by the ambulance service.
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Page last reviewed: 10 Jul 2020
