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cardiology ekg electrocardiogram diagnosis clinical dewinter differential omi twaves acs cardiogenic circumflex coronary criteria dcsi detroit equivalent equivalents infarction initiative
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
3 ECG patterns for ... Acute Occlusion ... without meeting ST elevation ... @jonnywatt #Occlusion ... MyocardialInfarction #OMI #STEMI
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... descending (LAD) occlusion ... ) Upsloping ST elevation ... DeWinter #TWaves #ECG
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... segment is the only ECG ... predictive of occlusion ... #Differential #Algorithm ... #cardiology #occlusionMI
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
100% Acute LAD Occlusion ... So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses ... #Total #ECG #EKG
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
Winter T-Waves on EKG ... anterior descending occlusions ... before or after STEMI ... - look for ST elevation ... #ECG #Electrocardiogram
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... STEMI - Elevation ... Sgarbossa criterion 3 (modified ... #Equivalents #ECG
Mid Left Circumflex STEMI on ECG This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... hour had a 100% occlusion ... can look in occlusion ... ST elevations in ... #ECG #EKG #Electrocardiogram
Modified Sgarbossa Positive ECG Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... positive based on the modified ... lead V6 has ST elevation ... #Modified #EKG
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Cardiogenic #Shock #Algorithm
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