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Thrombolysis
1.
Diagnosis of ST
Elevation MI and chest pain support. Charlie Bloe Clinical Ward Manager, CCU.
2.
3.
Acute Coronary Syndromes
ST elevation MI Unstable Angina Non ST elevation MI
4.
Atherosclerotic Plaque in
Coronary Artery Lipid core Fibrous cap > Artery lumen Plaque rupture and thrombus formation
5.
6.
7.
8.
9.
limb chest
10.
The Six Limb
Leads aVR aVL aVF N
11.
The Six Limb
Leads aVR aVL aVF Lead I Lead II Lead III N
12.
Use the thoracic
skeleton for landmarks The Chest Leads
13.
Correct chest lead
placement V1-V6 or C1-C6 V1 V2 V3 V4 V5 V6
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
Impact on pre
hospital thrombolysis (% of STEMI patients receiving PHT) Lots of myocardium saved!
26.
27.
28.
29.
30.
31.
32.
Thank you.
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