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cardiology ecg electrocardiogram clinical diagnosis sgarbossa algorithm cardiogenic checklist circumflex d1 dcsi detroit dewinter diagonal1 differential equivalents high initiation initiative
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Pattern STEMI ... anterior descending (LAD ... 1 mm) 2) ST depressions ... #EKG #Electrocardiogram ... 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
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
• Sgarbossa criterion ... V6 • Sgarbossa criterion ... • Sgarbossa criterion ... 3 (modified) - ... #EKG #diagnosis
Mid Left Circumflex STEMI on ECG This patient who had cp for 1 hour had a 100%
STEMI on ECG ... how subtle an EKG ... reciprocal st depressions ... frequently missed stemi ... #Circumflex #STEMI
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
High Lateral STEMI - D1 of LAD There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... similar but this ST Depression ... - Sam Ghali, M.D ... @EM_RESUS #STEMI ... #EKG #Electrocardiogram
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... DCSI #Initiative #Management
SSRI Initiation How long before increasing dose? • 4 wks. Initial response in 2-4 wks, max response
• Depression: 50% ... 50% reduction in GAD ... before starting new med ... #psychiatry #treatment ... #management
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