NSTEMI
freecme000
Published on Dec 24, 2024
Review Chapter 1 of my book, my 3 STEMI talks and my ECG ST elevation talks, as they complement this lecture. https://www.youtube.com/watch?v=wtBIG8a8Wbg&list=PLtUwanWSYKNq0XjdW6LeGLkx16PsJ0EH5&index=6
https://www.youtube.com/watch?v=zbu1y_AEQrY&list=PLtUwanWSYKNq0XjdW6LeGLkx16PsJ0EH5&index=4
0:00 4 Types of myocardial injuries. Diagnostic tips and tricks
07:24 General management of non-MI injury and type 2 MI
07:52 Type 2 MI vs type 1 overlap and difficult cases
12:02 Hs-troponin T and I
12:02: My classification of hs troponin values to distinguish various myocardial injuries
15:52 Case illustrations
19:48 My hs-troponin algorithm for ED discharge and risk stratification.
28:45 Troponin kinetics: peak, plateau, recurrent MI. Troponin peak sees the past
33:49 “Unstable angina†does it still exist?
38:45 5th myocardial injury-MINOCA
41:31 ECG
41:31 Ischemic ECG patterns vs non-ischemic patterns
50:17 Four Subtle STEMI patterns and OMI
53:21 DeWinter different from Wellens
53:54 Why ST elevation mild. Subtle STEMI is overlapped between STEMI and NSTEMI
57:05 Case illustrations
1:03:51 ST elevation in aVR discussion. It is not STEMI
01:08:19 Treatment-Initial invasive strategy: exact timing, data. Early invasive does not equate with early PCI. How many patients in early invasive trials underwent PCI?
01:13:16 less than 24 hrs?
01:14:42 when less than 2 hrs?
01:17:28 NSTEMI + HF or shock: diagnosis (is MI causing HF, or HF causing non-MI/type 2 injury). Timing of cath, beyond guidelines.
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