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cardiology ekg clinical ecg electrocardiogram diagnosis differential management cardiaccath catheterization criteria lbbb modified sgarbossa cardiac coronary fluoroscopy ischemia occlusion stelevation
Stimulated SA node AV node - Un-stimulated #PQ (mV) 0 ECG (lead II) QRS #QRS #SA node #AV node #Bundle of His Bundle branches #Purkinje fibers #QRS #ST
Un-stimulated #PQ ... (mV) 0 ECG (lead ... fibers #QRS #ST
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... Indications Cath Lab ... ASAP: STEMI NSTEMI ... -7) risk Cath lab ... #Inpatient #CathLab
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... 0.5mm downgoing ST ... have no pain - LAD ... avR - proximal LAD
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... 1) Upsloping ST ... (>= 1 mm) 2) ST
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
with 100% Acute LAD ... RBBB normally has ST ... an isolectric ST ... STEMI Criteria misses ... @EM_RESUS #LAD
Reperfusion Management of Myocardial Infarction with ST-segment Elevation (STEMI) #STEMI #PCI #Fibrinolysis #Transfer #Reperfusion #Algorithm #Timeline #Cardiology
Infarction with ST-segment ... Elevation (STEMI ... ) #STEMI #PCI ... #Reperfusion #Algorithm
Wraparound LAD STEMI on Cardiac Cath 47 year old with chest pain. Ectopic atrial rhythm with ST
Wraparound LAD STEMI ... atrial rhythm with ST ... all wraparound LAD ... #STEMI #clinical ... #CardiacCath #CathLab
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 Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI vs STEMI ... - Differential Algorithm ... The name STEMI ... believe that the ST ... #Differential #Algorithm
Recommendations for initial management of Unstable Angina/NSTEMI Flowchart for class I and class lla recommendations for initial
Unstable Angina/NSTEMI ... angina/non— ST-segment ... infarction (UA/NS TEMI ... UnstableAngina #Management #Algorithm
Anterior STEMI. Non surgical candidate. What’s your plan? Dr. James Nadel @jimmy_nardel #Anterior #STEMI #LAD #CathLab #CardiacCath #Cardiology
Anterior STEMI. ... #Anterior #STEMI ... #LAD #CathLab #
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