Thursday, July 14, 2011

Jul 14 - Diagnostic Criteria for Acute Myocardial Infarction

Dr Khan presented a talk today on an important topic to learn early in the year, particularly since ~ 1 in 50 will be missed and misdiagnosis of MI is a major source of malpractice suits for primary care docs.

The best way to learn ECG diagnosis is to practice, and the Beth Israel Deaconess Medical Center has an ECG learning site that is free to access and has tons of ECGs that can be viewed in either a quiz or learning mode - http://ecg.bidmc.harvard.edu/maven/mavenmain.asp

In addition to reviewing the UpToDate chapter, I highly recommend this NEJM review article on the topic from March 6, 2003, which covers basic diagnosis as well as diagnosis in the setting of left bundle branch block and RV MI.

And if you want to read deeper, this article from 1996 is the best study on ECG criteria that support a specific diagnosis of MI in the setting of LBBB.

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