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ecg electrocardiogram cardiology clinical diagnosis differential equivalents occlusion sgarbossa twaves checklist circumflex d1 dewinters diagonal1 high interpretation ischemia lbbb lcx
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... 1 mm) 2) ST depressions ... precordial leads #DeWinter ... Diagnosis #Cardiology #Criteria
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
with 100% Acute LAD ... normally has ST Depression ... STEMI Criteria misses ... - Sam Ghali, M.D ... @EM_RESUS #LAD
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
Criteria - Tall ... Upsloping ST segment depression ... aVR - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
bigger than QRS - deWinter ... have no pain - LAD ... avR - proximal LAD ... disease - ST depression ... #EKG #diagnosis
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Modified Sgarbossa ... Criteria - Diagnostic ... - Fusion: odd ... - Suspect STEMI ... #Checklist #EKG
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... • Sgarbossa criterion ... • Sgarbossa criterion ... 3 (modified) - ... #EKG #diagnosis
ECGofTheDay - What is the most likely diagnosis? What is this finding called? ... The combination of
combination of ST depression ... in 2% of acute LAD ... be considered a STEMI ... Clinical #Cardiology #EKG ... #ECG #DeWinters
Mid Left Circumflex STEMI on ECG This patient who had cp for 1 hour had a 100%
STEMI on ECG ... reciprocal st depressions ... frequently missed stemi ... #Circumflex #STEMI ... #ECG #EKG #Electrocardiogram
Major Depressive Disorder (MDD): Pathogenesis and Clinical Findings Symptoms (included in DSM 5 criteria) - Present during
Major Depressive ... included in DSM 5 criteria ... ) - Worse in winter ... MajorDepressiveDisorder #Depression ... Signs #Symptoms #Psychiatry
Modified Sgarbossa Positive ECG Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... criteria in the ... complex 10 in lead ... #Modified #EKG
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