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cardiology ecg differential stemi clinical criteria equivalents sgarbossa acutepe bradyarrhythmia bradycardia checklist dewinters elevation embolism interpretation ischemia lbbb pattern positive
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
De Winter T Wave ... precordial leads #DeWinter ... #TWaves #ECG #EKG ... #Electrocardiogram ... #Diagnosis #Cardiology
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
De Winter T-Waves ... on EKG - Anterior ... #TWaves #EKG #ECG ... #Electrocardiogram ... #diagnosis #cardiology
ECG pattern "de Winter" (ST depression in V1-V6 with upsloping ST depression and a hyperacute T-wave) #DeWinter #Pattern
Winter" (ST depression ... a hyperacute T-wave ... Pattern #electrocardiogram ... #cardiology #ekg ... #ecg #diagnosis
De Winter's T Waves Concerning for proximal LAD occlusion (Present in 2% of patients) • Upsloping ST-Depression
• Upsloping ST-Depression ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology ... #electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Modified Sgarbossa ... Criteria - Diagnostic ... Discordance" = ST ... #EKG #electrocardiogram ... #ecg #cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... Sgarbossa criterion 3 (modified ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... bigger than QRS - deWinter ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... • Dominant R Wave ... • Non-specific ST-T ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... - Differential Diagnosis ... voltage Other Causes ... #cardiology #ecg ... #ekg #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
3 different P waves ... 200ms from longer pause ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
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