TEST - Book of PDFs-01_Guild_CHEST- ST elevation (submitted)

01_Guild_CHEST- ST elevation (submitted)_CMS PC.pptx

Pdf Summary

In this document, Dr. Cameron Guild discusses various causes of ST elevation in critically ill patients. The causes include myocardial injury, coronary spasm, pericarditis, myocarditis, normal variants in young patients, early repolarization, left ventricular hypertrophy, ventricular pacing, ventricular aneurysm, electrolyte abnormalities, hyperkalemia, hypercalcemia, hypocalcemia, hypothermia, pulmonary embolism, CNS events, type 1C antiarrhythmics, tricyclic antidepressant overdose, Brugada syndrome, arrhythmogenic right ventricular dysplasia, post transthoracic DCCV, Chagas disease, and hypothyroidism/thyrotoxicosis. Dr. Guild presents several cases to illustrate these different causes. The cases involve patients with pericarditis, hypothermia, pulmonary embolism, subarachnoid hemorrhage, and diabetic ketoacidosis. For each case, Dr. Guild explains the most likely cause of the ST elevation and suggests the appropriate next test to order. Dr. Guild concludes by discussing the importance of considering the clinical setting, evaluating the evolution of the ECG, and performing a quick echocardiogram to assess for wall motion in order to determine the cause of ST elevation. Overall, the document highlights the need for careful interpretation of ECGs in the ICU to diagnose and manage potentially life-threatening conditions.

Keywords

ST elevation

critically ill patients

myocardial injury

coronary spasm

pericarditis

myocarditis

normal variants

young patients

early repolarization

left ventricular hypertrophy