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cardiology ecg checklist equivalents interpretation acs algorithm approach clinical coronary criteria elevation embolism equivalent infarction ischemia modified myocardial myocardialinfarction occlusion
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
Acute Occlusion MI ... • Posterior MI ... #STEMI #equivalent ... #diagnosis #cardiology ... #electrocardiogram
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
OMI vs STEMI - Differential ... segment is the only ECG ... #OMI #STEMI #Differential ... #Algorithm #cardiology ... myocardial #infarction #diagnosis
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
MI in LBBB or Pacemaker ... Criteria - Suspect STEMI ... #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
ECGs - Ischemia MI ... early inferior MI ... in V1, unless LBBB ... #EKG #diagnosis ... #cardiology #STEMI
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
- RAD: AntLat MI ... 500 DANGER - Short ... Mg, congenital, MI ... #EKG #diagnosis ... #electrocardiogram
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
(<360ms) PE: RBBB ... #EKG #Checklist ... #diagnosis #cardiology ... #electrocardiogram ... #differential
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... of the leads l, aVL ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STEMI: • Upsloping ... morphology similar to LBBB ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Pulmonary Embolism on ECG Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... #EKG #Electrocardiogram ... #clinical #cardiology
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