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ecg ekg cardiology diagnosis differential clinical dewinter lad twaves equivalents stelevation acutepericarditis acutestemi brugadasyndrome causes circumflex criteria d1 dextrocardia diagonal1
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Miss Signs of Ischemia ... disease - ST depression ... - R/S >1 or ST depression ... EKG #diagnosis #electrocardiogram
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
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... aVR • Posterior STEMI ... deviation) • Acute ischemia ... 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
Major electrocardiogram findings induced by left ventricular hypertrophy (LVH) An increase in left ventricular mass augments the
Major electrocardiogram ... associated with ST depressions ... subendocardial ischemia ... Diagnosis #Cardiology #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
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
Elevation AcutE STEMI ... Brugada syndrome ST depression ... Ischemia Dig ... BrugadaSyndrome #STdepression ... #Ischemia #DigEffect
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