ST elevation myocardial infarction<unk>  is a syndrome characterized by the presence of symptoms of myocardial ischemia associated with persistent ST elevation on electrocardiogram and elevated cardiac enzymes.  The management of<unk>  should be initiated without delay and the following timelines should be minimized (the 4 D's):
If a patient presents with chest discomfort, an electrocardiogram must be obtained immediately and no later than 5-10 minutes after arrival.  In the patient with chest discomfort, an electrocardiogram should be obtained prior to obtaining insurance / payment information.
If the electrocardiogram shows ST segment elevation, ST segment depression consistent with posterior MI, or a new left bundle branch block, a decision must be made within 5 to 10 minutes as to whether to administer a fibrinolytic agent or to proceed to primary angioplasty.
Once a decision is made to administer a fibrinolytic agent or to proceed to primary angioplasty this should be carried out within 30 minutes.
STEMI
Coronary angiography dissection
Spontaneous coronary artery dissection CT
Bubo
ST elevation myocardial infarction glucose control
Aortic dissection electrocardiogram
CARDS
Spontaneous coronary artery dissection MRI