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ecg checklist clinical criteria dewinter equivalents interpretation omi twaves acs algorithm approach coronary elevation embolism equivalent hyperkalemia infarction ischemia lbbb
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
Acute Occlusion ... @jonnywatt #Occlusion ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #cardiology #electrocardiogram
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... descending (LAD) occlusion ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
- Differential ... segment is the only ECG ... #Differential # ... Algorithm #cardiology ... #infarction #diagnosis
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
Winter T-Waves on EKG ... anterior descending occlusions ... before or after STEMI ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Hyperkalemia on EKG "Mild" Hyperkalemia • Peaked, narrow-based T Waves • Double counting of HR by EKG
waves • Pseudo-STEMI ... Sinoventricular rhythm • "Sine ... #Hyperkalemia #EKG ... #ECG #electrocardiogram ... #cardiology #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
ECGs - Ischemia MI ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
MI in LBBB or Pacemaker ... by vertical 2ms spike ... Criteria - Suspect STEMI ... #electrocardiogram ... #ecg #cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... segment at (or 40-60 ms ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
wide QRS, no P, sine ... #EKG #Checklist ... #diagnosis #cardiology ... #electrocardiogram ... #differential
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
- RAD: AntLat MI ... Short QT <300-360 ms ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
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