Reciprocal ST elevation in Unstable angina

[Crishaana]

so the diagnosis is confirmed by level of cardiac enzymes, right ?

[chargin48]

yes. tnt and ck. although you can han have high ck if the patient has other muscle damage or raised tnt if they are in renal failure. but apparently tnt /tni are the gold standard

[gonzalberto26]

@Crishaana Wow I'm struck by theis video... I was taught in med school that you could diagnose a MI by two of three criterias : pain, ECG and enzymes... It the patient has chest pain and a histroy of angina, we perform an ECG and an ST elevation is showed. so we better do enzymes to confirm a MI.

[demerssol]

@Crishaana ecg is more important than cardiac enzymes.Troponin is not a confirmatory test its a rule out test

[medicnick]

Another potential explanation exists. Your assessment of the isoelectric point is based on the TQ interval from computerized AC recordings. The TQ interval is subject to elevation and depression, specifically it elevates prior to the ST segment elevation. This may explain your initial findings of ST depression (when compared to the TQ). Cheers!

[KnightFitzpatrick]

Thanks alot for that :)