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ecg electrocardiogram cardiology diagnosis differential equivalents clinical interpretation ischemia stelevation
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
De Winter T-Waves ... before or after STEMI ... elevation in aVR ... segment - ST depression ... #TWaves #EKG #ECG
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... segment depression ... segment elevation ... aVR - “Normal” STEMI ... #TWaves #ECG #EKG
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... of ST segment at ... J point • De Winter ... transitioning in a convex ST-segment ... from ST-segment
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... STE: "Pardee's sign ... (Eiffel Tower sign ... • Acute aortic dissection ... #ST #STEMI #Segment
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... , Aortic dissection ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #EKG #diagnosis
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