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cardiology diagnosis differential endocarditis placement avr hypothermia infectiousdiseases jwave management osborn posterior rightsided utility
Lead aVR on EKG Lead aVR can provide some unique insight into 5 different conditions: - Acute
Lead aVR on EKG ... using the Vereckei criteria ... #Diagnosis #Cardiology ... #EKG #ECG #Lead ... #AVR #Utility #ALiEM
Right sided ECG leads (V1R-V6R) are positioned in a mirror image fashion to the standard 12-lead
Right sided ECG ... (RV) infarcts #EM ... #Cardiology #RightSided ... #EKG #Lead #Placement ... #ALiEM
Osborn (J Wave) Etiology • Hypothermia (below 320C / SOOF) • Normal variant • Hypercalcemia • Neurological
Normal variant • Hypercalcemia ... the precordial leads ... No prognostic value ... #Differential #Cardiology ... #EKG #ECG #Hypothermia
Posterior ECG leads (V7-V9) are applied by moving V4-V6 to under the left scapula.Purpose: To detect
Posterior ECG leads ... lateral wall AMI #EM ... #Cardiology #Posterior ... #EKG #Lead #Placement ... #ALiEM
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Prosthetic valve ... occlusion that may lead ... Infectious insult that leads ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
• Prosthetic valve ... occlusion that may lead ... Infectious insult that leads ... → TEE • Duke Criteria ... ↑ ESR, CRP • EKG
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