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ekg ecg cardiology diagnosis clinical dewinter differential hyperkalemia lad occlusion acs criteria dewinters digitalis digoxin equivalents ischemia lbbb modified pericarditis
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... 1 mm) 2) ST depressions ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
De Winter T-Waves ... before or after STEMI ... segment - ST depression ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #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
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... disease - ST depression ... - R/S >1 or ST depression ... isoeIectric in VI with depression ... EKG #diagnosis #electrocardiogram
Progression of EKG changes in ACS • Hyperacute T waves • ST depression and T waves
• Hyperacute T waves ... • ST depression ... and T waves changes ... elevation • T wave ... EKG #ACS #ECG #electrocardiogram
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
• Hyperacute T Waves ... MyocardialInfarction #OMI #STEMI ... 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
Progression of EKG changes in Acute Coronary Syndrome (ACS) Hyperacute T waves: • Broad-based and symmetrical, usually
) Hyperacute T waves ... ST take off ST depression ... and Twave changes ... down-sloping ST depression ... Progression #diagnosis #electrocardiogram
Electrocardiographic Features of Digoxin Toxicity • Virtually any arrhythmia is possible. None specific for digoxin toxicity
or "sagging" ST depressions ... • J point depression ... inverted/Biphasic T waves ... digitalis #Toxicity #Electrocardiogram
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... Upsloping ST segment depression ... aVR - “Normal” STEMI ... #DeWinter #TWaves ... EKG #Clinical #Electrocardiogram
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