Stemi checklist 2025

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STEMI is the most severe type of acute coronary syndrome and, untreated, has the worst mortality and morbidity. STEMIs are recognized by their characteristic ECG findings of having ST-elevations and are associated with complete or near-complete occlusion of a coronary artery.
What is STEMI (ST-Elevation Myocardial Infarction)? Chest discomfort (pressure, squeezing or pain) Upper body discomfort (arms, back, neck, jaw or stomach) Shortness of breath. Cold sweat, nausea or lightheadedness. Anxiety or feeling of impending doom.
ing to the American College of Cardiology/American Heart Association guidelines for STEMI, there must be new ST segment elevation at the J point in at least two contiguous leads of 2 mm (0.2 mV) in men or 1.5 mm (0.15 mV) in women in leads V2-V3 and/or of 1 mm (0.1 mV) in other contiguous chest leads or the
Diagnosis of STEMI is confirmed by characteristic findings on electrocardiography, including ST-segment elevation in specific leads. Blood tests, such as elevated cardiac troponins, further support the diagnosis.
Guidelines recommend percutaneous coronary intervention (PCI) as the gold standard treatment within 90 minutes from first clinical contact,1 or thrombolysis within 30 minutes where timely PCI is not achievable.
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An MI is diagnosed when 2 of the following criteria are met: Symptoms of ischemia. New ST-segment changes or a left bundle branch block (LBBB) Presence of pathological Q waves on electrocardiogram (ECG)

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