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diagnosis ekg ecg differential stemi clinical equivalents acutepe anesthesia anesthesiology cardiac checklist classification comparison criteria degrees dewinters echocardiogram elevation embolism
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
De Winter T Wave ... ST elevation in aVR ... precordial leads #DeWinter ... #Electrocardiogram ... #Diagnosis #Cardiology
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
De Winter T-Waves ... ST elevation in aVR ... Team @FOAMfrat #DeWinter ... #Electrocardiogram ... #diagnosis #cardiology
De Winter's T Waves Concerning for proximal LAD occlusion (Present in 2% of patients) • Upsloping ST-Depression
• STE in lead aVR ... ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology ... #electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... ST elevation in aVR ... deviation) • Acute ischemia ... #differential #cardiology ... #electrocardiogram
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
predictor of recurrent ischemic ... overdose: Prominent R wave ... prominent terminal R wave ... #electrocardiogram ... #differential #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... depression in aVR ... (Eiffel Tower sign ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Approach to ECGs - VT vs. SVT - Wide Tachycardias DDx = VT vs. SVT with BBB All
is positive in aVR ... - Brugada's sign ... - Josephson's sign ... Versus #ecg #ekg #cardiology ... #diagnosis #electrocardiogram
Pericarditis on EKG Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
depression; In aVR ... - Widespread T wave ... Normalization Spodick's sign ... Pericarditis #EKG #ECG #electrocardiogram ... #cardiology #diagnosis
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
• Dominant R Wave ... ECG leads) RV Ischemia ... Changes • STE in aVR ... AcutePE #diagnosis #cardiology ... #electrocardiogram
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