An indication for the STEMI bypass protocol (4a) is at least 2mm ST-elevation in leads V1-V3 in at least 2 anatomically contiguous leads OR at least 1mm ST-elevation in at least 2 other anatomically contiguous leads (4b.) I was taught to look for at least 2mm ST-elevation in leads V1-V6, and at least 1mm in the other leads.
Please follow up with your service for the application of the STEMI Standard.
Very soon, there will also be an ECG online module on MedicLEARN that will address this specific question.
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