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cardiology diagnosis ecg differential electrocardiogram endocarditis equivalents management twaves algorithm cardiogenic dcsi detroit foamcast hyperacutet infectiousdiseases initiative interpretation ischemic nstemi
Patterns of Ischemia T-Waves on ECG However, there are more kinds of ischemia than just STEMI and
than just STEMI ... #Diagnosis #Cardiology ... #ECG #EKG #NSTEMI ... #Ischemic #Ischemia ... #TWaves #DeWinter
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis #Cardiology ... #Criteria
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Miss Signs of Ischemia ... bigger than QRS - deWinter ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... • Sgarbossa criterion ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... Initiative #Management #Cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Prosthetic valve ... Early embolic/ischemic ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
• Prosthetic valve ... • Prosthetic Valve ... Early embolic/ischemic ... → TEE • Duke Criteria ... ↑ ESR, CRP • EKG
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