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ecg diagnosis differential lad equivalents sgarbossa syncope accelerated acutepe aivr criteria d1 diagonal1 echocardiogram elevation embolism emergency high idioventricular interpretation
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
RBBB normally has ST ... an isolectric ST ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Criteria - Diagnostic Checklist ... Discordance" = ST ... Criteria - Suspect STEMI ... #EKG #electrocardiogram ... #ecg #cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
(or 40-60 ms after ... Sgarbossa criterion 3 (modified ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Wraparound LAD STEMI on EKG 47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... atrial rhythm with ST ... not supply the PDA ... #EKG #clinical ... #cardiology #electrocardiogram
Modified Sgarbossa Positive ECG Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... in lead V6 has ST ... #Modified #EKG ... #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Aortic dissection, PE ... 0.5mm downgoing ST ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Accelerated Idioventricular Rhythm (AIVR) on EKG • Regular rhythm with wide. • QRS complexes >120
complexes >120 ms ... from 50-110 beats per ... AIVR #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram ... #clinical
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
• ↑K - brady, peak ... long QT via long ST ... #EKG #Checklist ... #diagnosis #cardiology ... #electrocardiogram
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
findings in acute PE ... evaluating for other causes ... • Non-specific ST-T ... AcutePE #diagnosis #cardiology ... #electrocardiogram
High Lateral STEMI - D1 of LAD There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... similar but this ST ... @EM_RESUS #STEMI ... #EKG #Electrocardiogram ... #Cardiology #Clinical
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