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ecg diagnosis stemi differential dewinter im ecgeducator interpretation lad occlusion pericarditis acutepe benign checklist criteria dewinters digitalis digoxin equivalents hyperkalemia
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... 1) Upsloping ST ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Progression of EKG changes in ACS • Hyperacute T waves • ST depression and T waves
Progression of EKG ... • ST depression ... #Progression #EKG ... #ACS #ECG #electrocardiogram ... #Timeline #cardiology
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
on EKG - Anterior ... STEMI - look for ST ... - Upsloping ST ... #EKG #ECG #Electrocardiogram ... #diagnosis #cardiology
De Winter's T Waves Concerning for proximal LAD occlusion (Present in 2% of patients) • Upsloping ST-Depression
V1-V4 without STE ... leads V1-V4 • STE ... #DeWinters #TWaves ... #EKG #ECG #diagnosis ... #cardiology #electrocardiogram
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
3 ECG patterns for ... without meeting ST ... equivalent #diagnosis #cardiology ... #electrocardiogram ... #ecg #ekg
Note there is ST depression in aVR, a true sign of Left Main occlusion. Many
Note there is ST ... authors state that ST ... aVR is a good ECG ... #Clinical #EM #IM ... #Cardiology #EKG
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Discordance" = ST ... V1-V3 c) STE ... Diagnosis #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
Benign Early Repolarization (BER) on EKG • Widespread concave STE most prominent in mid-to-left precordium (V2-V5)
Repolarization (BER) on EKG ... : T-wave height ... Repolarization #BER #EKG ... #ECG #diagnosis ... #cardiology #electrocardiogram
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
ECG of a 55-year-old ... : “Nonspecific ST ... Recognize this #ECG ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... #Ischemia #ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
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