Subtle, acute myocardial infarctions are among the diagnoses most often missed in medicine while the main tool for detecting these subtleties - electrocardiography - also happens to be one of the most underserved disciplines in medical education, including residency training. This session will introduce the more subtle signs of acute epicardial or subendocardial ischemia, signs that indicate an impending infarction and indications of a more severe or extensive myocardial event.
Detect the earliest signs of ST elevation in all leads but especially lead aVL which is the most problematic lead
Recite and utilize "Jones's Rule" regarding ST depression in the presence of chest pain.
Differentiate between Type I and Type II myocardial infarctions and explain the mechanisms precipitating each.
Recognize the signs of an extensive or especially critical myocardial infarction aside from ST elevation or depression.
Anticipate possible, immediate complications based on the likely culprit artery.