National Cardiovascular Disease Website - Reports on Two Registries (ACS and PCI) have been produced.

The National Cardiovascular Disease Database for Malaysia has been going on, producing good, interesting annual reports (so far, two reports been produced: 2006 for ACS Registry, and 2007 for PCI Registry). Click here for FREE Downloads of the two reports.I find the information there very useful as I prepare for my talk in 13th International Conference on Emergency Medicine. Powerpoint slides

Significant ST Elevations for STEMI – is it more than 1 mm or 2 mm; which leads – the precordial or the limb leads?

A lot of people asked me whether I have read anything on the significant ST elevations in ECG for STEM. I remember reading that the American Heart Association in its 2005 Guidelines on Cardiopulmonary Resuscitation and Emergency Cardiac Care mentioned ≥1 mm regardless of whether precordial or limb leads- seems like the Americans have simplified things; whereas when I read the European

Posterior MI Changes

The above ECG strips were taken from a 58 years old was admitted two days ago with history of chest pain that started about 30 minutes prior to admission to Emergency Department. (Click on each ECG strip to get a clearer, larger view.)The ECF obviously show ST elevations in leads II, III and aVF, indicating that he has acute inferior wall MI.However, leads V1 and V2 also show ST depression, and

Q&A based on Malaysian MOH CPG Management of Acute STEMI

I have compiled a series of Q&A notes based on the latest CPG on STEMI. If there is any mistake, please email me at cksheng74@yahoo.com. Cheers,K.S. ChewManagement of Acute Myocardial InfarctionIn some cases of early MI, the ECG can be normal or equivocal. In such cases, serial ECG is advocated. What is the time interval recommended for the repeat ECG? Which cardiac biomarkers are