ST elevation myocardial infarction chest x ray

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Overview

A chest x ray is often obtained in the patient with ST elevation MI, but its performance should not delay the delivery of reperfusion therapy. The CXR should be evaluated to exclude a wide mediastinum that would suggest an aortic dissection that could cause an MI, and the presence of cardiomegaly, pulmonary vascular redistribution and pulmonary edema consistent with heart failure should be noted. The presence of pulmonary edema is associated with higher short term mortality