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cardiology ecg electrocardiogram differential anesthesiology checklist clinical dewinter intraoperative workup cardiac equivalents ischemia pericarditis comparison criteria dewinters ecgeducator em embolism
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... ) Upsloping ST elevation ... in aVR (>= 1 mm ... #DeWinter #TWaves ... #Diagnosis #Cardiology
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
before or after STEMI ... - look for ST elevation ... in aVR (0.5-1mm ... FOAMfrat #DeWinter #TWaves ... #diagnosis #cardiology
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... elevation in aVR ... EKG findings: Sinus ... #AVR #leadAVR #ecg ... #cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... in aVR • Posterior ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
depression in aVR ... Elevation of PR ... segment in aVR and ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Framework STEMI ... STE: "Pardee's sign ... depression in aVR ... depression in aVR ... #diagnosis #cardiology
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
on ECG Diagnostic ... Absence of ST elevation ... - ST segment elevation ... (0.5mm-1mm) in aVR ... - “Normal” STEMI
Pericarditis on EKG Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... depression; In aVR ... - Widespread T wave ... Normalization Spodick's sign ... #cardiology #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... leads with STE in avR ... inversion - STE avR ... #EKG #diagnosis ... electrocardiogram #cardiology
ECGofTheDay - What is the most likely diagnosis? What is this finding called? ... The combination of
the most likely diagnosis ... subtle STE in aVR ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters
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