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Door-to-balloon is a time measurement in emergency cardiac care (ECC), specifically in the treatment of ST segment elevation myocardial infarction (or STEMI). The interval starts with the patient's arrival in the emergency department, and ends when a catheter guidewire crosses the culprit lesion in the cardiac cath lab.
The InTIME II database includes 15078 patients with full baseline clinical data available for 14114. Although this risk score shows strong association with mortality at 30 days, with a >40-fold graded increase in mortality between those with score of 0 and score > 8, there are some study limitations, which may prevent it from application nowadays.
ST elevation in select leads is more common with myocardial infarction. ST elevation only occurs in full thickness infarction; Prinzmetal's angina [5] Acute pericarditis [6] [7] ST elevation in all leads (diffuse ST elevation) is more common with acute pericarditis. Left ventricular aneurysm [8] Blunt trauma to the chest resulting in a cardiac ...
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The 2018 European Society of Cardiology/American College of Cardiology Foundation/American Heart Association/World Health Federation Universal Definition of Myocardial Infarction for the ECG diagnosis of the ST segment elevation type of acute myocardial infarction require new ST elevation at J point of at least 1mm (0.1 mV) in two contiguous leads with the cut-points: ≥1 mm in all leads ...
Acute coronary syndrome is subdivided in three scenarios depending primarily on the presence of electrocardiogram (ECG) changes and blood test results (a change in cardiac biomarkers such as troponin levels): [4] ST elevation myocardial infarction (STEMI), non-ST elevation myocardial infarction (NSTEMI), or unstable angina. [5]
The CPK-MB test (creatine phosphokinase-MB), also known as CK-MB test, is a cardiac marker [3] used to assist diagnoses of an acute myocardial infarction, myocardial ischemia, or myocarditis.
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