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diagnosis cardiology ekg electrocardiogram stemi equivalents acutepe anesthesia anesthesiology checklist clinical echocardiogram elevation embolism emergency interpretation intraoperative ischaemia leadavr management
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... hyperacute T waves ... bigger than QRS - deWinter ... T waves - starts ... Interpretation #differential
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... J point • De Winter ... discordant QRS complex ... deviation) • Acute ischemia ... #differential #
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... STE: "Pardee's sign ... depression in aVR ... depression in aVR ... (Eiffel Tower sign
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... predictor of recurrent ischemic ... overdose: Prominent R wave ... prominent terminal R wave ... tachycardia • Narrow complex
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
Incomplete or Complete ... • Dominant R Wave ... in relation to ECG ... leads) RV Ischemia ... Changes • STE in aVR
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... of cardiac ischaemia ... depression • T wave ... CM5 continuous ECG ... Stop or rapidly complete
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... • Myocardial ischemia ... • Underlying ischemic ... No associated P-wave ... , and the T-wave
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
interval and a delta wave ... • E: Epsilon Wave ... clinical #diagnosis waves ... not have obvious ischemia ... #cardiology #differential
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