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