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deleted92121
Hope you don't mind a question from a medic here but figured I could get some feedback from EM physicians on the matter.
If you have an EKG with significant ST depression, typically in the anterior and lateral leads, the old trick is to flip it over and upside down. This will give a posterior view of the heart and show the original ST depression as ST elevation.
My question is based on your experience, is this a reliable method for determining an acute MI in a patient with clinical findings that indicate ischemia/infarction such as CP, N/V, diaphoresis, etc? Do you confirm with a posterior EKG ("nine on the spine")?
I use this trick a lot and have activated STEMI alerts in the field numerous times with pretty good results. I am just curious how often practicing physicians use this and how accurate it really is.
If you have an EKG with significant ST depression, typically in the anterior and lateral leads, the old trick is to flip it over and upside down. This will give a posterior view of the heart and show the original ST depression as ST elevation.
My question is based on your experience, is this a reliable method for determining an acute MI in a patient with clinical findings that indicate ischemia/infarction such as CP, N/V, diaphoresis, etc? Do you confirm with a posterior EKG ("nine on the spine")?
I use this trick a lot and have activated STEMI alerts in the field numerous times with pretty good results. I am just curious how often practicing physicians use this and how accurate it really is.