DeWinter twaves sign a4c differential dewinterstwaves avnrt frog stemi - GrepMed

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Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously

excludes other differentials ... That’s called Frog ... sign! ... Cardiology #Neck #Frog ... #Sign

Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height

new/old infarct STEMI ... • DDx: Acute STEMI ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... Interpretation #differential

STEMI Equivalents on ECG
• Conventional STEMI - Elevation of ST segment at (or 40-60 ms

J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... indistinguishable from ... EKG #diagnosis #differential

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