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cardiology ecg diagnosis differential clinical dewinters equivalents avr awaves cannon criteria elevation frog interpretation ischemia jvp leadavr occlusion pericarditis rocketshaped
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #TWaves #ECG #EKG
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
- look for ST ... elevation in aVR ... - Upsloping ST ... segment - ST depression ... #TWaves #EKG #ECG
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... - Upsloping ST ... - Absence of ST ... precordial leads - ST ... #TWaves #ECG #EKG
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
myocardial infarction: ST ... ST elevation in ... • Multilead ST ... tachycardia ddx: AVNRT ... #electrocardiogram
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... elevation in aVR ... V2 • Wellens sign ... pain • Wellens sign ... differential #cardiology #electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
0.5mm downgoing ST ... line; upsloping ST ... vessel disease - ST ... - R/S >1 or ST ... #EKG #diagnosis
Cannon A waves during AVNRT on Physical Exam In AVNRT, the atria and ventricles contract nearly simultaneously
AVNRT on Physical ... Exam In AVNRT, ... EKG of the same ... #AVNRT #PhysicalExam ... JVP #Cardiology #Neck
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 De Winter's T Waves Concerning for proximal LAD occlusion (Present in 2% of patients) • Upsloping ST-Depression
• Upsloping ST-Depression ... • STE in lead aVR ... ± aVL #DeWinters ... #TWaves #EKG #ECG ... diagnosis #cardiology #electrocardiogram
ECGofTheDay - What is the most likely diagnosis? What is this finding called? ... The combination of
combination of ST ... rocket-shaped T waves ... subtle STE in aVR ... be considered a STEMI ... #ECG #DeWinters
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... STE: "Pardee's sign ... depression in aVR ... depression in aVR ... #ekg #electrocardiogram
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