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ekg electrocardiogram diagnosis algorithm differential lad acs anterolateral artery cardiogenic cathlab d1 dcsi detroit dewinter diagonal1 equivalent equivalents fluoroscopy high
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
Acute Occlusion ... meeting ST elevation criteria ... @jonnywatt #Occlusion ... #STEMI #equivalent ... #diagnosis #cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI ... segment is the only ECG ... EMNews #ACS #OMI ... #Algorithm #cardiology ... infarction #diagnosis #coronary
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
- Anterior OMI ... anterior descending occlusions ... before or after STEMI ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
100% Acute LAD Occlusion ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... Electrocardiogram #Clinical ... #Cardiology
Left Main Coronary Artery Thrombus seen on Angiography “Mother of all coronary thrombi”. 55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... predicted Left main occlusion ... #CathLab #clinical ... #cardiology #fluoroscopy
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 EKG - Anterolateral STEMI with Tombstones Here’s an impressive #ECG of a man with chest pain
STEMI with Tombstones ... troponin to rule out Coronary ... Occlusion! ... #ECG #clinical ... #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
CRITERIA Acute ... Ischemic Symptoms  EKG ... biomarker evidence of AMI ... (STEMI or NSTEMI ... Initiative #Management #Cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... or echo/angiogram ... - J point STE > ... #Ischemia #ECG ... electrocardiogram #cardiology
High Lateral STEMI - D1 of LAD There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... by D1 of LAD & OM1 ... 100% proximal occlusion ... @EM_RESUS #STEMI ... #Cardiology #Clinical
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