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ecg electrocardiogram aflutter atrial clinical differential counterclockwise equivalents reverse twaves classification clockwise comparison criteria elevation independent interpretation ischemia isthmus segment
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis ... #Cardiology #Criteria
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
on EKG - Anterior ... before or after STEMI ... Team @FOAMfrat #DeWinter ... Electrocardiogram #diagnosis ... #cardiology
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
on EKG Typical ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
activity without typical ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial ... waves in the inferior ... Atypical atrial ... #Diagnosis #ECG ... #EKG #Cardiology
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Typical (Counterclockwise ... on EKG • Inferior ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Reverse Typical ... on EKG • Inferior ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... bigger than QRS - deWinter ... in avL - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... J point • De Winter ... #EKG #diagnosis ... #differential #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... elevation in V1 and V2 typically ... STElevation #ST #STEMI ... #cardiology #ecg
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