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ecg ekg cardiology diagnosis differential clinical equivalents ischemia anesthesia anesthesiology checklist equivalent interpretation intraoperative ischaemia modified myocardialinfarction occlusion omi positive
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... elevation in aVR ... precordial leads #DeWinter ... #Electrocardiogram
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 in aVR ... #Electrocardiogram
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... Diagnostic Criteria ... aVR - “Normal” STEMI ... #TWaves #ECG #EKG ... #Clinical #Electrocardiogram
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 ... 1 - ST elevation ... differential #cardiology #electrocardiogram
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
without meeting ST ... elevation criteria ... • Hyperacute T Waves ... MyocardialInfarction #OMI #STEMI ... diagnosis #cardiology #electrocardiogram
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 ... #ST #STEMI #Segment ... cardiology #ecg #ekg #electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
0.5mm downgoing ST ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... line; upsloping ST ... EKG #diagnosis #electrocardiogram
Modified Sgarbossa Positive ECG Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... in lead V6 has ST ... elevation 2.5mm ... /S-wave 6mm = 0.42 ... Modified #EKG #Electrocardiogram
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... primarily include: • ST ... elevation or depression ... • T wave flattening ... Checklist #Diagnosis #Management
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