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ecg ekg cardiology diagnosis clinical dewinter differential twaves equivalents lad circumflex criteria d1 diagonal1 elevation high interpretation ischemia lcx mid
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... 1 mm) 2) ST depressions ... TWaves #ECG #EKG #Electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
big R or R/S>I STEMI ... disease - ST depression ... - R/S >1 or ST depression ... isoeIectric in VI with depression ... EKG #diagnosis #electrocardiogram
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... aVR • Posterior STEMI ... anterior leads) #STEMI ... differential #cardiology #electrocardiogram
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
before or after STEMI ... segment - ST depression ... TWaves #EKG #ECG #Electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
normally has ST Depression ... STEMI Criteria misses ... Total #ECG #EKG #Electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Opposing leads ST depression ... • PR-segment depression ... STElevation #ST #STEMI ... cardiology #ecg #ekg #electrocardiogram
High Lateral STEMI - D1 of LAD There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... similar but this ST Depression ... @EM_RESUS #STEMI ... Diagonal1 #ECG #EKG #Electrocardiogram
Mid Left Circumflex STEMI on ECG This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... reciprocal st depressions ... frequently missed stemi ... Mid #Circumflex #STEMI ... #ECG #EKG #Electrocardiogram
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
Upsloping ST segment depression ... aVR - “Normal” STEMI ... EKG #Clinical #Electrocardiogram
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