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cardiology diagnosis ecg ekg differential criteria equivalents modified checklist clinical elevation 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 ... - look for ST ... segment - ST depression ... #Electrocardiogram
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 ... #Clinical #Electrocardiogram
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... transitioning in a convex ST-segment ... from ST-segment ... differential #cardiology #electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Modified Sgarbossa ... Discordance" = ST ... Criteria - Suspect STEMI ... SarahFoohey #Sgarbossa ... Checklist #EKG #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... STE: "Pardee's sign ... morphology similar to LBBB ... #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 ... in V1, unless LBBB ... EKG #diagnosis #electrocardiogram
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa ... for diagnosing STEMI ... presence of a LBBB ... changes (ST segments ... amplitude of the S wave
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