STEMI ESC

Question 1

12-lead ECG recording and interpretation is indicated as soon as possible at the point of FMC, with a maximum target delay of 10 min.

Answer 1

I. B
Based on study from Deborah Diercks, analysis from the CRUSADE initiative. ECG within 10 minutes increases the likelihood of guideline directed therapy within 24 hrs, decrease in mortality non significative.

Question 2

ECG monitoring with defibrillator capacity is indicated as soon as possible in all patients with suspected STEMI.

Answer 2

I. B.

Based on cohort studies that show ventricular arrhythmias.

Question 3

The use of additional posterior chest wall leads (V 7 –V 9 ) in patients with high suspicion of posterior MI (circumflex occlusion) should be considered

Answer 3

IIa. B

Question 4

The use of additional right precordial leads (V 3 R and V 4 R) in patients with inferior MI should be considered to identify concomitant RV infarction

Answer 4

IIa. B

Question 5

Routine blood sampling for serum markers is indicated as soon as possible in the acute phase but should not delay reperfusion treatment.

Answer 5

I. C

Question 6

ECG monitoring with defibrillator capacity is indicated as soon as possible in all patients with suspected STEMI.

Answer 6

I. B.

Based on cohort studies that show ventricular arrhythmias.

Question 7

The use of additional posterior chest wall leads (V 7 –V 9 ) in patients with high suspicion of posterior MI (circumflex occlusion) should be considered

Answer 7

IIa. B

Question 8

The use of additional right precordial leads (V 3 R and V 4 R) in patients with inferior MI should be considered to identify concomitant RV infarction

Answer 8

IIa. B

Question 9

Routine blood sampling for serum markers is indicated as soon as possible in the acute phase but should not delay reperfusion treatment.

Answer 9

I. C