STEMI

Emergency phone (Fribourg):

+41 26 306 32 00

Symptoms and signs.

Typical chest pain for myocardial ischemia

Pain onset < 6 hours or persisting up to 12 hours.

ECG signs typical for myocardial infarction

• ST segment elevation (J point) in ≥2 leads of ≥0,1 mV (≥0,2 mV in V1–V3)
• new (presumed) left bundle branch block
• ST segment depression in V1–V3 (posterior infarction)
• CAVE: Diffuse ST segment depression with ST segment elevation in aVR="left main equivalent" (critical ischemia of the left main, severe triple vessel disease, aortic dissection, severe anemia, etc..).