TY - CHAP M1 - Book, Section TI - Chapter 200. Acute Myocardial Infarction, Complications and Treatment A1 - Sheikh, Awais A1 - Kohli-Seth, Roopa A2 - Atchabahian, Arthur A2 - Gupta, Ruchir PY - 2013 T2 - The Anesthesia Guide AB - Clinical: new angina, increasing angina, or angina at rest. Diaphoresis, hypotension, new MR murmur, pulmonary edema or rales, JVDEKG (Figures 200-1 and 200-2): ST segment elevation (≥0.2 mV in men or ≥0.15 mV in women in leads V2–V3 and/or ≥0.1 mV in other leads) or depression (>0.05 mV in two contiguous leads), T-wave inversion, new blocks especially LBBBEcho: wall motion abnormality, new MR (papillary muscle dysfunction)Lab: cardiac enzymes (troponin) serially STAT (for baseline) and q6 hours × 3DDx:Elicit cocaine usePE, aortic dissection: CT angiography to rule out SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=57263578 ER -