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ekg ecg cardiology diagnosis clinical avblock dewinter differential atrioventricular blocks classification criteria equivalents heartblock hyperkalemia modified paroxysmal sgarbossa summary type1
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... depressions and tall T waves ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
De Winter T-Waves ... - De Winter T waves ... before or after STEMI ... FOAMfrat #DeWinter #TWaves ... #EKG #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
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... big R or R/S>I STEMI ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
120ms, Dominant S wave ... in V1 (deep S waves ... from native beat conducted ... Criteria - Suspect STEMI ... Checklist #EKG #electrocardiogram
Second Degree Heart Block, Mobitz Type I (Wenckebach) P waves and QRS complexes are normal but... •
Wenckebach) P waves ... Dropped beats (non-conducted ... P wave) • Leads ... Cardiology #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
Second Degree AV Block Type I aka Mobitz I / Wenckebach • Normal P waves.
) of the first conducted ... than the last conducted ... on the second conducted ... P wave ... cardiology #ecg #ekg #electrocardiogram
Hyperkalemia on EKG "Mild" Hyperkalemia • Peaked, narrow-based T Waves • Double counting of HR by EKG
narrow-based T Waves ... Loss of visible P waves ... • Pseudo-STEMI ... rhythm • "Sine wave ... Hyperkalemia #EKG #ECG #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... replaced by T wave ... interval J Wave ... STElevation #ST #STEMI ... cardiology #ecg #ekg #electrocardiogram
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