{"id":338,"date":"2012-06-04T23:02:29","date_gmt":"2012-06-05T03:02:29","guid":{"rendered":"http:\/\/emeddoc.org\/?p=338"},"modified":"2012-06-04T23:05:17","modified_gmt":"2012-06-05T03:05:17","slug":"ekg-differentiation-of-early-repol-vs-stemi","status":"publish","type":"post","link":"https:\/\/emeddoc.org\/?p=338","title":{"rendered":"EKG differentiation of early Repol vs STEMI"},"content":{"rendered":"<p>Annals of Emergency Medicine published an article which it provided a formula to determine if we can differentiate between STEMI vs Early Repolarization. I really do not know in an acute setting I am able to sit down and calculate this but sometimes in terms of training it could be fun to do this practice!!!<!--more--><\/p>\n<p>Formula:<\/p>\n<p>([1.196 x ST-segment elevation 60 ms after the J point in lead V3 in  mm]+[0.059 x QTc in ms]\u2013[0.326 x R-wave amplitude in lead V4 in mm])=<\/p>\n<p>if this is &gt; 23.4 predicted STEMI<\/p>\n<p>if &lt; or = 23.4, it  predicted early repolarization i<\/p>\n<p>with overall sensitivity 86% and specificity of  91%<\/p>\n<p><a href=\"http:\/\/www.annemergmed.com\/article\/S0196-0644%2812%2900160-6\/abstract\">Annals of EM<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Annals of Emergency Medicine published an article which it provided a formula to determine if we can differentiate between STEMI vs Early Repolarization. I really do not know in an acute setting I am able to sit down and calculate this but sometimes in terms of training it could be fun to do this practice!!!<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21,15,16],"tags":[],"class_list":["post-338","post","type-post","status-publish","format-standard","hentry","category-cardiology","category-pgy3","category-pgy4"],"_links":{"self":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/338","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=338"}],"version-history":[{"count":3,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/338\/revisions"}],"predecessor-version":[{"id":340,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/338\/revisions\/340"}],"wp:attachment":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=338"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=338"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}