DeWinter twaves sign aorta diagnosis aortic management summary dissection ecg stemi ischemia

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

- Ischemia MI ... , Aortic dissection ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #ECG #EKG #diagnosis

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 ... deviation) • Acute ischemia ... #EKG #diagnosis

Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
• Upsloping convex STE: "Pardee's sign" +

Framework STEMI ... STE: "Pardee's sign ... Post-cardioversion • Acute aortic ... dissection • ... #cardiology #ecg

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