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The arrows point to a subendocardial region with poor contrast enhancement due to ischemia. This is
enhancement due to ischemia ... ischemia. ... #Clinical #EM #IM ... #Cardiology #Radiology ... #Ischemia #Axial
The arrows point to the inferior subendocardium.  It is dark because there is low contrast
to the inferior subendocardium ... ischemia. ... #Clinical #EM #IM ... #Cardiology #Radiology ... #Ischemia #Sagittal
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
in aVR, a true sign ... aVR is a good ECG ... sign of left main ... #Clinical #EM #IM ... #Cardiology #EKG
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... Equivalents / Don't Miss Signs ... electrocardiogram #cardiology ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia ... #differential #