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ekg differential criteria equivalents interpretation approach checklist clinical dewinter equivalent foamcast ischemia lbbb modified myocardialinfarction occlusion pericarditis qrs segment sgarbossa
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
Acute Occlusion MI ... ST elevation criteria ... • Posterior MI ... #STEMI #equivalent ... #diagnosis #cardiology
ST Elevation MI Criteria #Diagnosis #Cardiology #ECG #EKG #STEMI #STElevationMI #Criteria #FOAMCast
ST Elevation MI ... Criteria #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #STElevationMI
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
- Anterior OMI ... before or after STEMI ... - look for ST elevation ... #ECG #Electrocardiogram ... #diagnosis #cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... segment at (or 40-60 ms ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Pericarditis on EKG Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Widespread ST elevation ... Normalization Spodick's sign ... seen in acute MI ... #ECG #electrocardiogram ... #cardiology #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... - J point STE > ... early inferior MI ... #EKG #diagnosis ... #cardiology #STEMI
Wellens' Sign: LAD-T Wave Inversion Life threatening T wave inversions in precordial leads. Often V2-V3 Specific
Wellens' Sign: LAD-T ... anterior wall MI ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Framework STEMI ... STE: "Pardee's sign ... notch at the J point ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Checklist for diagnosing ... MI in LBBB or Pacemaker ... Criteria - Suspect STEMI ... #electrocardiogram ... #ecg #cardiology
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
- RAD: AntLat MI ... Mg, congenital, MI ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
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