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ecg electrocardiogram differential equivalents interpretation lbbb modified sgarbossa approach checklist equivalent foamcast ischemia myocardialinfarction occlusion segment stelevation stelevationmi
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 ... #diagnosis #cardiology
ST Elevation MI Criteria #Diagnosis #Cardiology #ECG #EKG #STEMI #STElevationMI #Criteria #FOAMCast
ST Elevation MI ... Criteria #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #STElevationMI ... #Criteria #FOAMCast
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... (or 40-60 ms after ... 1 - ST elevation ... #EKG #diagnosis ... #differential #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
MI in LBBB or Pacemaker ... Discordance" = ST ... - Suspect STEMI ... #Checklist #EKG ... #cardiology #lbbb
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STEMI: • Upsloping ... #ST #STEMI #Segment ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
ECGs - Ischemia MI ... 1/3 height of QRS ... early inferior MI ... #EKG #diagnosis ... electrocardiogram #cardiology
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
STEMI in the presence ... dominant part of the QRS ... elevation of greater ... Most specific for MI ... = Specific for MI
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
- RAD: AntLat MI ... ) - HiPR: AV block ... Mg, congenital, MI ... #EKG #diagnosis ... electrocardiogram #cardiology
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