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ecg cardiology electrocardiogram differential syncope clinical emergency equivalents ischemia anesthesia anesthesiology cardiac comparison criteria echocardiogram elevation interpretation intraoperative ischaemia management
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 ... #TWaves #ECG #EKG ... Electrocardiogram #Diagnosis
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
De Winter T-Waves ... before or after STEMI ... - look for ST elevation ... #TWaves #EKG #ECG ... Electrocardiogram #diagnosis
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... on ECG Diagnostic ... aVR - “Normal” STEMI ... pattern #DeWinter ... #TWaves #ECG #EKG
ECG characteristics in Brugada Syndrome a. Broad P wave with some PQ prolongation b. J point
in Brugada Syndrome ... Broad P wave with ... #Diagnosis #ECG ... #EKG #Brugada # ... Syndrome #Waveform
Differential Diagnosis for ST Segment Elevations - ACUTE STEMI - PULMONARY EMBOLISM - LBBB
Differential Diagnosis ... Elevations - ACUTE STEMI ... PACEMAKER) - BRUGADA ... SIGN (SYNDROME) ... #STSegment #STElevation
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... J point • De Winter ... syndrome - J-point ... V2 • Wellens sign ... #EKG #diagnosis
Brugada syndrome Types 1, 2 and 3 There are three types of ECG presentations, referred to as
Brugada syndrome ... most typical (and diagnostic ... of the second R-wave ... #Diagnosis #ECG ... #EKG #Brugada #Syndrome
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... STE: "Pardee's sign ... are involved • Brugada ... blocking drugs #STElevation
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 ... #EKG #diagnosis
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
ECGs - Syncope Syndromes ... assoc withlK Brugada ... mchlwng #Syncope #Syndromes ... #ECG #EKG #Checklist ... #diagnosis #cardiology
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