User:Bron766/ECG/ST segment

Subject: Medicine- - -Level: Tertiary- - -Resource type: Active learning exercises

The ECGST segmentis the space between the end of the QRS complex and the start of the T wave.

Skills:

• Define a normal ST segment as isoelectric.
• Identify and describe abnormal ST segments as elevated or depressed.
• Distinguish anterior/lateral/posterior/inferior STEMI based on the pattern of leads with ST elevation.
• Distinguish STEMI from its mimics, including Benign Early Repolarisation.
• Distinguish nSTEMI from its mimics.
• Identify STEMI in the presence of LBBB or ventricular pacing.

How to use this page:

• Explore the sections below by clicking on Process, Review, Apply or Contribute to find a variety of educational exercises. Click again to hide the same content.
• Read the suggestions for each type of activity.
• Choose your learning goals using the list of skills on the previous slide.
• Make this page better by editing it or leaving comments on the talk page.

Medical disclaimer:This page is for educational and informational purposes only and may not be construed as medical advice. The information is not intended to replace medical advice offered by physicians. Please refer to the full text of theWikiversity medical disclaimer.

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Exercises:

Process

Active learning exercise: Can youprocesssome new information andtransformit into somethingdifferent? Help:Learning byconnectivisminvolves remixing information to create new connections and links. Start bychoosingmaterials from the collection above that are most relevant to you. Keep arecordof which materials you have accessed (suggested ways of doing this can be foundhere).Transformthe information from one format to another. A traditional example of this learning exercise might be taking a lecture and processing it to make dot point notes, but also consider other formats like diagrams, mind maps, short movies and more. Revise your notes by transforming them again rather than just passively reading them. The theory is that this exercise helps you to engage elements ofactive learningandlearning by teachingto increase the quality of your own learning while also creating something useful for others to learn with if you choose to share it.

Review
Active learning exercise: Can youreviewyour knowledge by trying thisquiz? Learn the language:try these exercises to work through terms used to describe ST segment changes (e.g. concordance, reciprocal change and coved).

Apply

Active learning exercise: Can youapplythis information to theseclinical examples? Are these ST segments normal or abnormal? Normal or abnormal?(Answer) Where is the STEMI located? Try thisGuess the Culpritpage with 12 ECGs to solve. Example.(Answer.) Indigestion - 47 yo male.(Full case and discussion here.) Can you distinguish Benign Early Repolarisation from STEMI? (A formula may help.) 3 hours of chest pain. Is it STEMI, normal or early repolarization? Example Example Example Example Example Can you distinguish STEMI from all of its mimics? Chest pain - 24 yo female.(Answer here.) Alcohol intoxicated patient(Answer here.) Chest pain, recent CABG - 70 yo male(Answer here.) 2/7 Chest discomfort - 62 yo male(Answer here.) Seizure - 25 yo male.(Answer here.) Shortness of breath - 65 yo male, recent chest pain with MI ruled out.(Answer here.) Fever - 19 yo male with cerebral palsy and respiratory failure.(Answer and the tweet that led to the mystery here...) Can you distinguish nSTEMI from posterior STEMI in precordial ST depression? First ECG,previous baseline ECGandfull answer. First ECG,previous baseline ECGandfull answer. Can you distinguish nSTEMI from its mimics? Right neck pain, bilateral foot swelling, haematochezia and recurrent abdominal pain that goes up "into my esophagus and left neck."(Answer here) Syncope - 17 yo female.(Answer here) Are you smarter than a computer? Can you correct these computerised ECG interpretations? ***Acute MI suspected***(Answer here.) Can you identify STEMI in the presence of LBBB or ventricular pacing? Help:For each skill, here is a collection of relevant cases and clinical examples. You can practise these skills and exercises in any order, but the coloured icons () should help you to find examples of a similar difficulty level. Planned future versions of this page should allow you to keep track of which exercises you have completed, for example by exporting the list toLearnistwhere you can mark each item as 'done'. You can also review the concepts, theory and background knowledge in the 'Review' section above.

Connect

Active learning exercise: Can youconnectwith the online medical community toshareyour growing knowledge? Wikiversity is a community devoted tocollaborative learning.We build learning resources from the ground up and also link to existing internet resources. By getting involved, you can benefit from powerful educational models includingactive learningto strengthen your own knowledge, while also helping others around the world to access medical education. Join in the community: Create your own portfolio of medicine study notes for free on Wikiversity - just add{{med portfolio}}to yourWikiversity user pageto get started. Add links to this page by learning how toedit Wikiversity pages. Help toimprove the quality of Wikipedia medicine articlesand consider joiningWikiProject Medicine- Contribute clinical images toWikimedia Commonsor help to sort and classify these resources. Join theFOAMcommunity discussions onTwitterby summarising what you have learned, using the hashtags#FOAMedor#MedEd. Create a freeblogor consider guest posting on anestablished medical blog. The free ECGPedia does not yet have a page on Benign Early Repolarisation. Can you start writing one? You can also learn more about the projects that this page is designed to support, includingFOAM,and

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