Get the free Non-ischaemic causes of ST segment elevation - Singapore Medical - smj sma org

Electrocardiography Series Singapore Med J 2012; 53(6) : 367 Article Nonischaemic causes of ST segment elevation Bandit Kuntjoro1, MD, See Gun Teo1,2, MBBS, MRCP, Khan Kong Poh1,2, FRC, FACE Fig.

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How to fill out non-ischaemic causes of ST:

1. Identify potential non-ischaemic causes: Non-ischaemic causes refer to factors other than reduced blood flow that can lead to ST segment changes on an electrocardiogram (ECG). These causes may include ventricular hypertrophy, electrolyte imbalances, certain medications, pericarditis, and more. It is important to identify and understand these potential causes to accurately interpret ECG results.
2. Review patient history: Gathering a comprehensive patient history can provide valuable insights into potential non-ischaemic causes. Look for any past instances of heart conditions, medication use, recent illness, or surgeries that may be contributing factors. By reviewing the patient's history, you can gain a better understanding of their overall health status and potential underlying causes of ST segment changes.
3. Conduct a physical examination: A thorough physical examination can help detect any signs or symptoms that may indicate non-ischaemic causes of ST segment changes. Pay close attention to signs of inflammation, murmurs, irregular heart rhythms, or any other indicators that may suggest non-ischaemic conditions. Physical findings combined with patient history and the ECG can provide a more accurate diagnosis.
4. Order relevant diagnostic tests: Once potential non-ischaemic causes are identified, additional diagnostic tests may be necessary to confirm the diagnosis. Tests such as blood tests, echocardiography, stress tests, or imaging studies can provide further insights into non-ischaemic conditions. By conducting these tests, healthcare professionals can gather more evidence to support their diagnosis and provide appropriate treatment.

Who needs non-ischaemic causes of ST:

1. Cardiologists: Cardiologists specialize in the diagnosis and treatment of heart conditions. They need to be aware of non-ischaemic causes of ST segment changes as this knowledge can assist them in accurately interpreting ECG results. Understanding these causes is crucial in differentiating between cardiac ischemia and non-ischaemic conditions, leading to appropriate management and treatment.
2. Internists: Internists are often responsible for managing and coordinating the overall healthcare of adult patients. They need to understand non-ischaemic causes of ST segment changes to provide comprehensive care and make appropriate referrals. By recognizing these causes, internists can ensure that patients receive the necessary diagnostic tests and consultations with relevant specialists.
3. Emergency department physicians: When patients present with acute chest pain or other symptoms suggestive of a possible heart condition, emergency department physicians play a critical role in their initial evaluation and management. Identifying non-ischaemic causes of ST segment changes can aid emergency physicians in determining the urgency and appropriate course of action required for each patient, leading to more accurate and timely interventions.

Remember, accurate identification and understanding of non-ischaemic causes of ST segment changes are essential for proper diagnosis and patient care. Healthcare professionals with this knowledge can provide appropriate treatment and management for patients, minimizing potential risks and ensuring better outcomes.

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