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cardiology diagnosis ekg ecg electrocardiogram clinical differential criteria management sgarbossa modified rebelem stelevation acs cathlab checklist ischemia modifiedsgarbossa occlusion vtach
LAD IWMI LAHB RAD [PHB RVH Lateral wall infarct Lead reversal Dextrocardia Wide ORS RBBB - terminal delay [BBB IVED WPW = delta wave Hyperkalemia Type l antiarrhythmic drugs Pacemaker ST elevation Early repolarization
drugs Pacemaker ST ... Elevation AcutE STEMI ... Brugada syndrome ST ... Nonconducted APC #LAD ... #LBBB #IVED #WPW
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
0.5mm downgoing ST ... line; upsloping ST ... have no pain - LAD ... avR - proximal LAD ... in V1, unless LBBB
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
with 100% Acute LAD ... Remember that RBBB ... normally has ST ... STEMI Criteria misses ... @EM_RESUS #LAD
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
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis • Lead V1 - LBBB Criteria •
Diagnosis • Lead ... V1 - LBBB Criteria ... • Lead V1 - RBBB ... aVR - Vereckie Algorithm ... #Algorithm #
Differential Diagnosis for ST Segment Elevations - ACUTE STEMI - PULMONARY EMBOLISM - LBBB
Diagnosis for ST ... Elevations - ACUTE STEMI ... EMBOLISM - LBBB ... #STElevation #STEMI
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
diagnosing MI in LBBB ... Discordance" = ST ... Criteria - Suspect STEMI ... > 1 mm in any lead ... wave > 25% in any lead
What are the original Sgarbossa Criteria? - Concordant ST-segment elevation ≥ 1 mm in any lead =
- Concordant ST-segment ... ≥ 1 mm in any lead ... points - Concordant ST-segment ... points - Discordant ST-segment ... Sgarbossa #Criteria #LBBB
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
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
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