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ekg cardiology diagnosis clinical equivalents circumflex d1 dewinter diagonal1 elevation embolism equivalent high interpretation ischemia lad lcx leadavr mid myocardialinfarction
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
Acute Occlusion MI ... ST elevation criteria ... • Posterior MI ... #STEMI #equivalent ... #electrocardiogram
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
- Anterior OMI ... before or after STEMI ... - look for ST elevation ... in aVR (0.5-1mm ... #ECG #Electrocardiogram
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Subepicardial atrial injury ... #AVR #leadAVR #ecg ... #electrocardiogram ... cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... wave inversion in avL ... early inferior MI ... #electrocardiogram ... #cardiology #STEMI
Pericarditis on EKG Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Widespread ST elevation ... depression; In aVR ... seen in acute MI ... #ECG #electrocardiogram ... #cardiology #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... in aVR • Posterior ... of the leads l, aVL ... #differential # ... cardiology #electrocardiogram
High Lateral STEMI - D1 of LAD There is transmural injury isolated to I & aVL. These
is transmural injury ... isolated to I & aVL ... by D1 of LAD & OM1 ... LAD #Diagonal1 #ECG ... #EKG #Electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
, not in aVL • ... , not in aVL, when ... lateral leads (I, aVL ... #Elevation #differential ... #ecg #ekg #electrocardiogram
Mid Left Circumflex STEMI on ECG This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... look in occlusion MI ... in leads 1 and avl ... frequently missed stemi ... #ECG #EKG #Electrocardiogram
Pulmonary Embolism on ECG Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Sister had MI in ... Differential/diagnosis ... leads (II, III, AVF ... #EKG #Electrocardiogram ... #clinical #cardiology
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