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cardiology clinical diagnosis ekg ecg electrocardiogram echocardiogram differential criteria management sgarbossa a4c hypokinesis modified rebelem stelevation ultrasound acs anterior cathlab
LAD IWMI LAHB RAD [PHB RVH Lateral wall infarct Lead reversal Dextrocardia Wide ORS RBBB - terminal delay [BBB IVED WPW = delta wave Hyperkalemia Type l antiarrhythmic drugs Pacemaker ST elevation Early repolarization
LAD IWMI LAHB ... drugs Pacemaker ST ... Elevation AcutE STEMI ... Brugada syndrome ST ... #LBBB #IVED #WPW
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis • Lead V1 - LBBB Criteria •
Diagnosis • Lead ... V1 - LBBB Criteria ... • Lead V1 - RBBB ... aVR - Vereckie Algorithm ... #Algorithm #
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... have no pain - LAD ... avR - proximal LAD ... in V1, unless LBBB
LAD STEMI on with Anterior Hypokinesis POCUS Echocardiogram What's the diagnosis?? 63 year old with BP of
LAD STEMI on with ... Anterior Hypokinesis POCUS ... echo: proximal LAD ... STEMI. ... #Hypokinesis #POCUS
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 Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
with 100% Acute LAD ... Remember that RBBB ... normally has ST ... STEMI Criteria misses ... @EM_RESUS #LAD
Proximal LAD STEMI with Anterior Wall Akinesis on POCUS If you have trouble appreciating regional wall motion
Proximal LAD STEMI ... Wall Akinesis on POCUS ... with a proximal LAD ... STEMI. ... #POCUS
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 Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
diagnosing MI in LBBB ... Discordance" = ST ... Criteria - Suspect STEMI ... > 1 mm in any lead ... wave > 25% in any lead
Differential Diagnosis for ST Segment Elevations - ACUTE STEMI - PULMONARY EMBOLISM - LBBB
Diagnosis for ST ... Elevations - ACUTE STEMI ... EMBOLISM - LBBB ... #STElevation #STEMI
LAD Coronary Artery Dissection on POCUS Severe CP x 1 hour, Ant/Sept STEMI on EKG. ED
LAD Coronary Artery ... Dissection on POCUS ... hour, Ant/Sept STEMI ... Cath LAD dissection ... Artery #Dissection #POCUS
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 What are the original Sgarbossa Criteria? - Concordant ST-segment elevation ≥ 1 mm in any lead =
- Concordant ST-segment ... ≥ 1 mm in any lead ... depression ≥ 1 mm in lead ... ≥ 5 mm in any lead ... Sgarbossa #Criteria #LBBB
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