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ekg diagnosis electrocardiogram differential clinical equivalents aneurysm em ischemia lad lvaneurysm management prinzmetal segment st stelevation vasospastic wraparound
Vasospastic (Prinzmetal) Angina Definition / Epidemiology: • Rest angina attributed to coronary artery vasospasm. • Patients often
younger than other ACS ... Pathophysiology: ... Variable troponin elevation ... changes on tele/ECG ... #cardiology #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... STEMI - Elevation ... segment at (or 40-60 ms ... after) the J point ... #differential #cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... wave inversion in avL ... electrocardiogram #cardiology ... #Interpretation
Wraparound LAD STEMI on EKG 47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
rhythm with ST elevations ... What's the culprit artery ... The mother of all ... #cardiology #electrocardiogram ... #ecg
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Prinzmetal's Angina ... • Epicardial artery ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
The ECG shows ST elevation (STE) across the precordium, highest in V2 and V3. There are
elevation (STE) ... any R-wave at all ... Persistent STE after ... prior MI (also ... #Clinical #EM #Cardiology
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