CPMI-0425 - Seq. 12300 (STEMI or STEMI Equivalent v3.1-0425 - Seq. 12300 (STEMI or STEMI Equivalent v3.1

0425 - Seq. 12300 (STEMI or STEMI Equivalent v3.1

Video Transcription

Video Summary

In April 2025, a case scenario reviews the sequence 12300 STEMI for a 56-year-old female with chest pain and left arm tingling. EMS ECGs indicate STEMI, but the cardiologist hesitates to activate the cath lab, given the patient's anxiety history and the reliance on internal ECG confirmation. Eventually, a drug-eluting stent is deployed successfully. The scenario emphasizes the importance of timely reperfusion and suggests investigating the cardiologist's decision-making process. All three ECGs confirmed the STEMI diagnosis, prompting questions about EMS ECG interpretation confidence and whether educational improvements are needed. The case highlights the need for cohesive medical teamwork.

Keywords

fibromuscular dysplasia

coronary artery dissection

NSTEMI

STEMI

PCI

cardiologist

reperfusion

ECG

medical teamwork