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 just isn't ST elevation.
This is ST elevation, but it does not actually meet the universal definition of a myocardial infarction
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, 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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