A 65 year old man with ACS has a troponin rise from <40ng/L initially to 409ng/L. The ECGs are shown below. ACS meds are started. What now?
This is ST elevation, but you need at least 0.2mV in 2 adjacent limb leads to call it a STEMI.
This is ST elevation, but it does not actually meet the universal definition of a myocardial infarction
This just isn't ST elevation.
This is ST elevation, and there is no time to waste. You should ring the interventional cardiologists.
This is ST elevation, but you have missed the 90 minute door-to-needle window and the 12 hour thrombolysis window. Continue meds and serial ECGs until you can get a senior.
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