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ecg electrocardiogram differential endocarditis interpretation lbbb approach checklist dewinter discordance discordant equivalent evaluation foamcast infectiousdiseases management modified myocardialinfarction normal occlusion
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
meeting ST elevation criteria ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #cardiology #electrocardiogram ... #ecg #ekg
ST Elevation MI Criteria #Diagnosis #Cardiology #ECG #EKG #STEMI #STElevationMI #Criteria #FOAMCast
ST Elevation MI ... Criteria #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #STElevationMI ... #Criteria #FOAMCast
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Pattern STEMI ... Equivalent - Left ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
MI = Biomarkers ... Equivalents / Don't ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... #STEMI #Equivalents
Sgarbossa’s ECG criteria for detecting ischemia in the presence of left bundle branch block (LBBB) The Sgarbossa
Sgarbossa’s ECG ... ischemia in the ... bundle branch block ... #Diagnosis #Cardiology ... #ECG #EKG #Sgarbossas
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... deviation) • Acute ischemia ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
for diagnosing ... MI in LBBB or Pacemaker ... - Suspect STEMI ... #Checklist #EKG ... #cardiology #lbbb
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
- RAD: AntLat MI ... ) - HiPR: AV block ... Short QT <300-360 ms ... #EKG #diagnosis ... electrocardiogram #cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Early embolic/ischemic ... Differential Diagnosis ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Highest metabolic equivalent ... history of: a) Ischemic ... Obtain EKG if: ... one post op Cardiology ... stratification #diagnosis
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