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ekg diagnosis electrocardiogram differential equivalents algorithm cardiogenic clinical dcsi detroit equivalent foamcast inferoposterior initiative interpretation ischemic management misread myocardialinfarction nstemi
Patterns of Ischemia T-Waves on ECG However, there are more kinds of ischemia than just STEMI and
T-Waves on ECG ... than just STEMI ... #Diagnosis #Cardiology ... #ECG #EKG #NSTEMI ... #TWaves #DeWinter
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 ... #Criteria
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
meeting ST elevation criteria ... Posterior MI • Hyperacute ... T Waves • De ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... Equivalents / Don't Miss Signs ... hyperacute T waves ... bigger than QRS - deWinter ... electrocardiogram #cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... chest pain • Hyperacute ... deviation) • Acute ischemia ... #differential #cardiology
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Hyperacute Inferior ... InferoPosterior transmural ischemia ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Infarction  Ischemic ... Symptoms  EKG ... visualization with use of ultrasound ... Initiative #Management #Cardiology
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