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cardiology diagnosis ecg ekg differential twaves management clinical criteria equivalents sgarbossa aloc altered cardiogenic causes checklist chestpain comatose dcsi detroit
Patterns of Ischemia T-Waves on ECG However, there are more kinds of ischemia than just STEMI and
Patterns of Ischemia ... than just STEMI ... Cardiology #ECG #EKG #NSTEMI ... #Ischemic #Ischemia ... #TWaves #DeWinter
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... precordial leads #DeWinter ... TWaves #ECG #EKG #Electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... diffuse PR dep) NSTEMI ... big R or R/S>I STEMI ... #cardiology #STEMI
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
De Winter T-Waves ... occlusions - De Winter ... before or after STEMI ... Team @FOAMfrat #DeWinter ... TWaves #EKG #ECG #Electrocardiogram
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... aVR • Posterior STEMI ... deviation) • Acute ischemia ... anterior leads) #STEMI
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... aVR - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter ... EKG #Clinical #Electrocardiogram
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Infarction  Ischemic ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... Cardiogenic #Shock #Algorithm
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Modified Sgarbossa ... 3) Implement Modified ... Criteria - Suspect STEMI ... Sgarbossa #Criteria #Modified ... Checklist #EKG #electrocardiogram
Causes of Altered Level of Consciousness GCS < 7 - Differential Diagnosis Algorithm Brain Involvement - Hemispheric
Differential Diagnosis Algorithm ... Traumatic • Ischemia ... Involvement - Brain Stem ... Traumatic • Ischemia ... Herniation • Brain stem
Chest Pain Diagnosis and Management Algorithm STEMI: - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
and Management Algorithm ... STEMI: - Hx: Pressure ... deficit, Limb ischemia ... Diagnosis #Management #Algorithm
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