NSTEMI

Review Chapter 1 of my book, my 3 STEMI talks and my ECG ST elevation talks, as they complement this lecture.    • ST elevation on ECG, part 1: Differential ...      • STEMI part 1: focus on reperfusion- Elias ...   0:00 4 Types of myocardial injuries. Diagnostic tips and tricks 07:24 General management of non-MI injury and type 2 MI 07:52 Type 2 MI vs type 1 overlap and difficult cases 12:02 Hs-troponin T and I 12:02: My classification of hs troponin values to distinguish various myocardial injuries 15:52 Case illustrations 19:48 My hs-troponin algorithm for ED discharge and risk stratification. 28:45 Troponin kinetics: peak, plateau, recurrent MI. Troponin peak sees the past 33:49 “Unstable angina” does it still exist? 38:45 5th myocardial injury-MINOCA 41:31 ECG 41:31 Ischemic ECG patterns vs non-ischemic patterns 50:17 Four Subtle STEMI patterns and OMI 53:21 DeWinter different from Wellens 53:54 Why ST elevation mild. Subtle STEMI is overlapped between STEMI and NSTEMI 57:05 Case illustrations 1:03:51 ST elevation in aVR discussion. It is not STEMI 01:08:19 Treatment-Initial invasive strategy: exact timing, data. Early invasive does not equate with early PCI. How many patients in early invasive trials underwent PCI? 01:13:16 less than 24 hrs? 01:14:42 when less than 2 hrs? 01:17:28 NSTEMI + HF or shock: diagnosis (is MI causing HF, or HF causing non-MI/type 2 injury). Timing of cath, beyond guidelines.